| Entity Name: | DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Aug 2021 (3 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L21000379498 |
| FEI/EIN Number | 46-5102389 |
| Address: | 501 SPORTSMAN PARK DR, SEFFNER, FL 33584 |
| Mail Address: | PO BOX 1526, SEFFNER, FL 33583 |
| ZIP code: | 33584 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285329540 | 2023-04-11 | 2023-04-11 | PO BOX 1526, SEFFNER, FL, 335831526, US | 501 SPORTSMAN PARK DR, SEFFNER, FL, 335844153, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 813-531-5380 |
Authorized person
| Name | DR. CHRISTINE LI'CHELE' MOORE |
| Role | CEO |
| Phone | 8135315380 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| SPIEGEL & UTRERA, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| CHRISTINE LI'CHELE' MOORE, PH.D | Manager | 501 SPORTSMAN PARK DR, SEFFNER, FL 33584 |
| DR. CARLOS N. MOORE, RMSGT | Manager | 501 SPORTSMAN PARK DR, SEFFNER, FL 33584 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000114546 | DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC | ACTIVE | 2021-09-05 | 2026-12-31 | No data | P.O. BOX 1526, SEFFNER, FL, 33583 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-04-27 |
| Florida Limited Liability | 2021-08-24 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
