Entity Name: | BELLA MENTAL HEALTH SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 30 Mar 2020 (5 years ago) |
Document Number: | L20000093157 |
FEI/EIN Number | 85-0646687 |
Address: | 2955 Pineda Plaza Way, 209, Melbourne, FL, 32940, US |
Mail Address: | 2955 Pineda Plaza Way, 209, Melbourne, FL, 32940, US |
ZIP code: | 32940 |
County: | Brevard |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1487273157 | 2020-04-13 | 2020-04-13 | 1276 CYPRESS TRACE DR, MELBOURNE, FL, 329401620, US | 1290 US HIGHWAY 1, ROCKLEDGE, FL, 329552712, US | |||||||||||||||
|
Phone | +1 321-506-5155 |
Phone | +1 321-405-1271 |
Authorized person
Name | NELLA CICIULLA |
Role | OWNER |
Phone | 3214052751 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CICIULLA NELLA G | Agent | 1276 CYPRESS TRACE DRIVE, MELBOURNE, FL, 32940 |
Name | Role | Address |
---|---|---|
CICIULLA NELLA | Manager | 1276 CYPRESS TRACE DRIVE, MELBOURNE, FL, 32940 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 2955 Pineda Plaza Way, 209, Melbourne, FL 32940 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-09 | 2955 Pineda Plaza Way, 209, Melbourne, FL 32940 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-09 |
AMENDED ANNUAL REPORT | 2023-07-26 |
ANNUAL REPORT | 2023-03-07 |
ANNUAL REPORT | 2022-03-21 |
ANNUAL REPORT | 2021-04-05 |
Florida Limited Liability | 2020-03-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State