| Entity Name: | WISE FUTURE GROUP SUPPORT SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Aug 2020 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 28 Sep 2023 (a year ago) |
| Document Number: | L20000250498 |
| FEI/EIN Number | 85-2556517 |
| Address: | 10244 e colonial dr, ORLANDO, FL, 32817, US |
| Mail Address: | 10244 e colonial dr, ORLANDO, FL, 32817, US |
| ZIP code: | 32817 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235841347 | 2022-12-20 | 2024-08-15 | 10244 E COLONIAL DR STE 110, ORLANDO, FL, 328174365, US | 10244 E COLONIAL DR STE 110, ORLANDO, FL, 328174365, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 407-202-9440 |
| Fax | 4076016879 |
Authorized person
| Name | YAZNELLY S RIVERA |
| Role | CEO |
| Phone | 4075087374 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 110159900 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RIVERA NEGRON YAZNELLY S | Agent | 9818 Lake District ln, ORLANDO, FL, 32832 |
| Name | Role | Address |
|---|---|---|
| RIVERA NEGRON YAZNELLY S | Manager | 9818 Lake District Ln, ORLANDO, FL, 32832 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-09-28 | 9818 Lake District ln, ORLANDO, FL 32832 | No data |
| REINSTATEMENT | 2023-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-28 | 10244 e colonial dr, suite 110, ORLANDO, FL 32817 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-10-24 | RIVERA NEGRON, YAZNELLY S | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-24 | 10244 e colonial dr, suite 110, ORLANDO, FL 32817 | No data |
| REINSTATEMENT | 2022-10-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| LC AMENDMENT | 2020-10-20 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-10 |
| REINSTATEMENT | 2023-09-28 |
| REINSTATEMENT | 2022-10-24 |
| ANNUAL REPORT | 2021-04-29 |
| LC Amendment | 2020-10-20 |
| Florida Limited Liability | 2020-08-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
