Entity Name: | SILVER LININGS BEHAVIORAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 19 Jan 2021 (4 years ago) |
Document Number: | L21000035182 |
FEI/EIN Number | 861883482 |
Address: | 1420 Celebration Blvd, CELEBRATION, FL, 34747, US |
Mail Address: | 1420 Celebration Blvd STE 200, CELEBRATION, FL, 34747, US |
ZIP code: | 34747 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568054666 | 2021-02-09 | 2021-08-26 | 1420 CELEBRATION BLVD STE 200, CELEBRATION, FL, 347475162, US | 1420 CELEBRATION BLVD STE 200, CELEBRATION, FL, 347475162, US | |||||||||||||||||||||
|
Phone | +1 407-922-4012 |
Fax | 4075300173 |
Authorized person
Name | PRISCILLA SANTOS |
Role | OWNER |
Phone | 3059513645 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 109519500 |
State | FL |
Name | Role | Address |
---|---|---|
SANTOS PRISCILLA | Agent | 1420 Celebration Blvd, CELEBRATION, FL, 34747 |
Name | Role | Address |
---|---|---|
SANTOS PRISCILLA | Manager | 1420 CELEBRATION BLVD, CELEBRATION, FL, 34747 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-04-15 | 1420 Celebration Blvd, SUITE 200, CELEBRATION, FL 34747 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-04-15 | 1420 Celebration Blvd, STE 200, CELEBRATION, FL 34747 | No data |
CHANGE OF MAILING ADDRESS | 2021-11-18 | 1420 Celebration Blvd, SUITE 200, CELEBRATION, FL 34747 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
ANNUAL REPORT | 2023-03-16 |
ANNUAL REPORT | 2022-04-15 |
Florida Limited Liability | 2021-01-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State