| Entity Name: | MEDICAL AND BEHAVIORAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 03 Jun 2021 (4 years ago) |
| Document Number: | L21000258227 |
| FEI/EIN Number | 87-1059754 |
| Address: | 8955 SW 87 COURT, MIAMI, FL, 33176, US |
| Mail Address: | 8955 SW 87 COURT, MIAMI, FL, 33176, US |
| ZIP code: | 33176 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942923933 | 2022-09-23 | 2023-11-16 | 8955 SW 87TH CT STE 212, MIAMI, FL, 331762223, US | 8955 SW 87TH CT STE 212, MIAMI, FL, 331762223, US | |||||||||||||||||||||||||||||||
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| Phone | +1 786-840-3454 |
| Fax | 7865135923 |
Authorized person
| Name | ONELIA FAJARDO |
| Role | PRESIDENT |
| Phone | 3057227210 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| FAJARDO ONELIA | Agent | 8955 SW 87 COURT, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| FAJARDO ONELIA | Manager | 8955 SW 87 COURT, MIAMI, FL, 33176 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000044506 | SERENA MENTAL HEALTH | ACTIVE | 2024-04-01 | 2029-12-31 | No data | 8955 SW 87 COURT, SUITE 212, MIAMI, FL, 33176 |
| G24000044511 | SERENA SALUD MENTAL | ACTIVE | 2024-04-01 | 2029-12-31 | No data | 8955 SW 87 COURT, SUITE 212, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-29 | 8955 SW 87 COURT, Suite 212, MIAMI, FL 33176 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-29 | 8955 SW 87 COURT, Suite 212, MIAMI, FL 33176 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-28 | 8955 SW 87 COURT, 112, MIAMI, FL 33176 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-01-29 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-18 |
| Florida Limited Liability | 2021-06-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
