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EVOLVE BEHAVIOR THERAPY SERVICES LLC

Company Details

Entity Name: EVOLVE BEHAVIOR THERAPY SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 11 Aug 2021 (4 years ago)
Document Number: L21000361182
FEI/EIN Number 87-2136222
Address: 1910 Park Meadows Drive, STE 103, Fort Myers, FL, 33907, US
Mail Address: 1910 Park Meadows Drive, STE 103, Fort Myers, FL, 33907, US
ZIP code: 33907
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740955210 2021-08-16 2023-10-26 1910 PARK MEADOWS DR STE 103, FORT MYERS, FL, 339073830, US 1910 PARK MEADOWS DR STE 103, FORT MYERS, FL, 339073830, US

Contacts

Phone +1 239-260-4218
Fax 2399001283

Authorized person

Name GINGER L BEEHLER
Role OWNER
Phone 6517951755

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes
Taxonomy Code 106E00000X - Assistant Behavior Analyst
Is Primary No
Taxonomy Code 106S00000X - Behavior Technician
Is Primary No

Agent

Name Role Address
BEEHLER GINGER Agent 1910 Park Meadows Drive, Fort Myers, FL, 33907

Manager

Name Role Address
BEEHLER GINGER L Manager 4112 WILMONT PL, FORT MYERS, FL, 33916

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2023-07-18 BEEHLER, GINGER No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-10 1910 Park Meadows Drive, STE 103, Fort Myers, FL 33907 No data
CHANGE OF MAILING ADDRESS 2023-01-10 1910 Park Meadows Drive, STE 103, Fort Myers, FL 33907 No data
REGISTERED AGENT ADDRESS CHANGED 2023-01-10 1910 Park Meadows Drive, STE 103, Fort Myers, FL 33907 No data

Documents

Name Date
ANNUAL REPORT 2024-02-09
AMENDED ANNUAL REPORT 2023-07-18
ANNUAL REPORT 2023-01-10
ANNUAL REPORT 2022-01-31
Florida Limited Liability 2021-08-11

Date of last update: 01 Feb 2025

Sources: Florida Department of State