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AGAPE BEHAVIORAL CENTER LLC

Company Details

Entity Name: AGAPE BEHAVIORAL CENTER LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 28 Feb 2022 (3 years ago)
Document Number: L22000103807
FEI/EIN Number 88-1576384
Address: 5081 NW DUNN RD, FORT PIERCE, FL, 34981, UN
Mail Address: 1164 E OAKLAND BLVD, OAKLAND PARK, FL, 33334, US
ZIP code: 34981
County: St. Lucie
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982347472 2022-04-14 2024-07-29 4837 N DIXIE HWY STE B, OAKLAND PARK, FL, 333343928, US 5081 NW DUNN RD, FORT PIERCE, FL, 349814942, US

Contacts

Phone +1 973-687-0616

Authorized person

Name GEORGE MAVROOKAS
Role OWNER
Phone 9736870616

Taxonomy

Taxonomy Code 323P00000X - Psychiatric Residential Treatment Facility
Is Primary Yes

Agent

Name Role Address
MAVROOKAS GEORGE J Agent 599 SW 8TH TERR, BOCA RATON, FL, 33486

Manager

Name Role Address
MAVROOKAS GEORGE J Manager 599 SW 8TH TERR, BOCA RATON, FL, 33486

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-06-23 5081 NW DUNN RD, FORT PIERCE, FL 34981 UN No data
CHANGE OF MAILING ADDRESS 2023-06-23 5081 NW DUNN RD, FORT PIERCE, FL 34981 UN No data

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-05-01
Florida Limited Liability 2022-02-28

Date of last update: 02 Feb 2025

Sources: Florida Department of State