| Entity Name: | TITAN COUNSELING AND BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jan 2020 (5 years ago) |
| Document Number: | L20000018082 |
| FEI/EIN Number | 84-4441723 |
| Address: | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 |
| Mail Address: | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 |
| ZIP code: | 32811 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396353934 | 2020-07-20 | 2020-07-20 | 4806 VANGUARD ST, ORLANDO, FL, 328198519, US | 4806 VANGUARD ST, ORLANDO, FL, 328198519, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 407-202-3089 |
Authorized person
| Name | MR. KARON MONTGOMERY |
| Role | OWNER |
| Phone | 4072023089 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MONTGOMERY, KARON M | Agent | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 |
| Name | Role | Address |
|---|---|---|
| Montgomery, Karon M | Owner | 501 S. Kirkman Rd, PO Box 618006 ORLANDO, FL 32811 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-28 | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-28 | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-28 | 501 S. Kirkman Rd, PO Box 618006, ORLANDO, FL 32811 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-03-28 |
| ANNUAL REPORT | 2024-03-01 |
| ANNUAL REPORT | 2023-03-05 |
| ANNUAL REPORT | 2022-03-29 |
| ANNUAL REPORT | 2021-08-09 |
| Florida Limited Liability | 2020-01-10 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
