| Entity Name: | CENTRAL WEST BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Jan 2022 (3 years ago) |
| Document Number: | L22000011073 |
| FEI/EIN Number | 87-4531987 |
| Address: | 4138 Lamson Ave, Spring Hill, FL, 34608, US |
| Mail Address: | 4138 Lamson Ave, Spring Hill, FL, 34608, US |
| ZIP code: | 34608 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1891449633 | 2022-02-10 | 2023-12-19 | 4138 LAMSON AVE, SPRING HILL, FL, 346083744, US | 4138 LAMSON AVE, SPRING HILL, FL, 346083744, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 813-892-1252 |
Authorized person
| Name | SHABU VARGHESE |
| Role | PRESIDENT |
| Phone | 8138921252 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VARGHESE SHABU A | Agent | 13717 SPRINGER LANE, TAMPA, FL, 33625 |
| Name | Role | Address |
|---|---|---|
| VARGHESE SHABU | Manager | 13717 SPRINGER LANE, TAMPA, FL, 33625 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-16 | 4138 Lamson Ave, Spring Hill, FL 34608 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-06 | 4138 Lamson Ave, Spring Hill, FL 34608 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-04-06 |
| Florida Limited Liability | 2022-01-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
