| Entity Name: | SUNSHINE BEHAVIOR MOMENTUM, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jul 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 10 Aug 2020 (5 years ago) |
| Document Number: | L20000188869 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 711 PARSONS POINTE ST, SEFFNER, FL, 33584, US |
| Mail Address: | 711 PARSONS POINTE ST, SEFFNER, FL, 33584, US |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639787237 | 2020-07-20 | 2020-07-20 | 711 PARSONS POINTE ST, SEFFNER, FL, 335847804, US | 711 PARSONS POINTE ST, SEFFNER, FL, 335847804, US | |||||||||||||
|
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| Phone | +1 813-530-4428 |
Authorized person
| Name | KIBLENA WALLACE |
| Role | ADMINISTRATOR |
| Phone | 8135304428 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALLACE KIBLENA | Agent | 711 PARSONS POINTE ST, SEFFNER, FL, 33584 |
| Name | Role | Address |
|---|---|---|
| WALLACE KIBLENA S | Auth | 711 PARSONS POINTE ST, SEFFNER, FL, 33584 |
| WALLACE ANTHONY D | Auth | 711 PARSONS POINTE ST, SEFFNER, FL, 33584 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2020-08-10 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-19 |
| ANNUAL REPORT | 2023-03-14 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-15 |
| LC Amendment | 2020-08-10 |
| Florida Limited Liability | 2020-07-06 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
