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CHILDRENS BEHAVIORAL REHAB LLC

Company Details

Entity Name: CHILDRENS BEHAVIORAL REHAB LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Aug 2021 (3 years ago)
Document Number: L21000381950
FEI/EIN Number 87-2364336
Address: 4143 SW 74 Ct, Suite B, MIAMI, FL 33155
Mail Address: 4143 SW 74 Ct, Suite B, MIAMI, FL 33155
ZIP code: 33155
County: Miami-Dade
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891463378 2021-08-31 2024-08-26 4143 SW 74TH CT STE B, MIAMI, FL, 331554467, US 3020 LEE BLVD STE 10, LEHIGH ACRES, FL, 339712438, US

Contacts

Phone +1 786-499-5497

Authorized person

Name MISS YOLEIDIS GONZALEZ
Role OWNER
Phone 7864995497

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
GONZALEZ, YOLEIDIS Agent 4143 SW 74 Ct, Suite B, MIAMI, FL 33155

Manager

Name Role Address
GONZALEZ, YOLEIDIS Manager 4143 SW 74 Ct, Suite B MIAMI, FL 33155

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-09-12 4143 SW 74 Ct, Suite B, MIAMI, FL 33155 No data
CHANGE OF MAILING ADDRESS 2023-09-12 4143 SW 74 Ct, Suite B, MIAMI, FL 33155 No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-12 4143 SW 74 Ct, Suite B, MIAMI, FL 33155 No data

Documents

Name Date
ANNUAL REPORT 2024-04-26
AMENDED ANNUAL REPORT 2023-09-12
ANNUAL REPORT 2023-04-10
ANNUAL REPORT 2022-04-26
Florida Limited Liability 2021-08-25

Date of last update: 13 Jan 2025

Sources: Florida Department of State