| Entity Name: | KEYS FOR LIFE BEHAVIORAL HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Document Number: | L21000087604 |
| FEI/EIN Number | 86-2382608 |
| Address: | 3450 NORTHLAKE BLVD, STE 102, Palm Beach Gardens, FL 33403 |
| Mail Address: | 3450 NORTHLAKE BLVD, STE 102, Palm Beach Gardens, FL 33403 |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093461428 | 2022-02-24 | 2022-06-08 | 2240 PALM BEACH LAKES BLVD STE 304B, WEST PALM BEACH, FL, 334093410, US | 2240 PALM BEACH LAKES BLVD STE 304B, WEST PALM BEACH, FL, 334093410, US | |||||||||||||||||
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| Phone | +1 561-316-4242 |
Authorized person
| Name | LAFAYETTE E JENKINS |
| Role | CLINICA DIRECTOR |
| Phone | 5613164242 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JENKINS, LAFAYETTE E | Agent | 12288 HAMLIN BLVD. WEST PALM BEACH, FL, WEST PALM BEACH, FL 33412 |
| Name | Role | Address |
|---|---|---|
| JENKINS, LAFAYETTE E | Clinical Director | 3450 Northlake Blvd, Ste 102 PALM BEACH GARDENS, FL 33403 |
| Name | Role | Address |
|---|---|---|
| JENKINS, CYNTHIA V | Practice Manager | 3450 Northlake Blvd, Ste 102 PALM BEACH GARDENS, FL 33403 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-03 | 3450 NORTHLAKE BLVD, STE 102, Palm Beach Gardens, FL 33403 | No data |
| CHANGE OF MAILING ADDRESS | 2022-10-03 | 3450 NORTHLAKE BLVD, STE 102, Palm Beach Gardens, FL 33403 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-28 | 12288 HAMLIN BLVD. WEST PALM BEACH, FL, WEST PALM BEACH, FL 33412 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-05-11 |
| ANNUAL REPORT | 2022-04-28 |
| Florida Limited Liability | 2021-02-22 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
