| Entity Name: | NEURODIVERSE ABILITY SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Dec 2019 (5 years ago) |
| Document Number: | L20000001345 |
| FEI/EIN Number | 85-3205574 |
| Address: | 608 SW Marvin Burnett, LAKE CITY, FL, 32025, US |
| Mail Address: | 608 SW Marvin Burnett, PMB 225 Atten Paula Miller, LAKE CITY, FL, 32025, US |
| ZIP code: | 32025 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598366171 | 2020-11-02 | 2021-04-05 | 664 SW MAULDIN AVE, LAKE CITY, FL, 320244791, US | 608 SW MARVIN BURNETT RD, LAKE CITY, FL, 320254918, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 386-965-5197 |
Authorized person
| Name | DR. PAULA LYNETTE MILLER |
| Role | PRESIDENT/CEO |
| Phone | 3869655197 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 103TS0200X - School Psychologist |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 224Z00000X - Occupational Therapy Assistant |
| Is Primary | No |
| Taxonomy Code | 225X00000X - Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 235Z00000X - Speech-Language Pathologist |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MILLER PAULA L | Agent | 8883 Highway 90 west, LAKE CITY, FL, 32055 |
| Name | Role | Address |
|---|---|---|
| MILLER PAULA LPH.D | Chief Executive Officer | 8883 Highway 90 west, LAKE CITY, 32055 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 608 SW Marvin Burnett, LAKE CITY, FL 32025 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-08 | 608 SW Marvin Burnett, LAKE CITY, FL 32025 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-08 | 8883 Highway 90 west, LAKE CITY, FL 32055 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-07-11 |
| ANNUAL REPORT | 2023-03-08 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-08-09 |
| Florida Limited Liability | 2019-12-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
