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BELLA MENTAL HEALTH SERVICES, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CICIULLA NELLA G Agent 1276 CYPRESS TRACE DRIVE, MELBOURNE, FL, 32940

Manager

Name Role Address
CICIULLA NELLA Manager 1276 CYPRESS TRACE DRIVE, MELBOURNE, FL, 32940

Events

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

Documents

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