Entity Name: | LAKELAND BEHAVIOR SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: |
Florida Limited Liability Co.
LAKELAND BEHAVIOR SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
Date Filed: | 26 May 2022 (3 years ago) |
Document Number: | L22000245353 |
FEI/EIN Number |
APPLIED FOR
Federal Employer Identification (FEI) Number assigned by the IRS. |
Address: | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846, US |
Mail Address: | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846, US |
ZIP code: | 33846 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598497885 | 2022-06-27 | 2022-06-27 | 3745 HILL ST, LAKELAND, FL, 338124338, US | 3745 HILL ST, LAKELAND, FL, 338124338, US | |||||||||||||||||||
|
Phone | +1 786-602-0904 |
Authorized person
Name | LUIS A YANCE |
Role | ADMIN |
Phone | 7866020904 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | PENDING |
State | FL |
Name | Role | Address |
---|---|---|
MIRANDA CASTILLO DELVIS M | Manager | 3745 HILL ST, LAKELAND, FL, 33812 |
MIRANDA CASTILLO DELVIS A | Agent | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL, 33846 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
CHANGE OF MAILING ADDRESS | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
REGISTERED AGENT NAME CHANGED | 2024-04-27 | MIRANDA CASTILLO, DELVIS A | - |
REGISTERED AGENT ADDRESS CHANGED | 2024-04-27 | 4037 CENTRAL AVE SE, HIGHLAND CITY, FL 33846 | - |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-27 |
ANNUAL REPORT | 2023-03-27 |
Florida Limited Liability | 2022-05-26 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State