Entity Name: | BRILLIANT CLINICAL SOLUTIONS LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 06 Jun 2022 (3 years ago) |
Document Number: | L22000257990 |
FEI/EIN Number | 88-2901368 |
Address: | 522 OAKFIELD DR., BRANDON, FL 33511 |
Mail Address: | 522 OAKFIELD DR., BRANDON, FL 33511 |
ZIP code: | 33511 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1306545579 | 2023-02-27 | 2023-02-27 | 522 OAKFIELD DR, BRANDON, FL, 335115743, US | 522 OAKFIELD DR, BRANDON, FL, 335115743, US | |||||||||||||||||||||
|
Phone | +1 813-588-9088 |
Fax | 8137362690 |
Authorized person
Name | ALISHA CORNELL BRILL BEARD |
Role | OWNER/CLINICIAN |
Phone | 8135889088 |
Taxonomy
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | Yes |
Other Provider Identifiers
Issuer | UNKNOWN |
Number | 1760646178 |
State | FL |
Name | Role | Address |
---|---|---|
BEARD, ALISHA C B | Agent | 522 OAKFIELD DR., BRANDON, FL 33511 |
Name | Role | Address |
---|---|---|
BEARD, ALISHA C B | Manager | 522 Oakfield Dr., BRANDON, FL 33511 |
BEARD, NATHANIEL A | Manager | 522 OAKFIELD DR., BRANDON, FL 33511 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-03-12 | BEARD, ALISHA C B | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-12 | 522 OAKFIELD DR., BRANDON, FL 33511 | No data |
CHANGE OF MAILING ADDRESS | 2023-03-23 | 522 OAKFIELD DR., BRANDON, FL 33511 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-12 |
ANNUAL REPORT | 2023-03-23 |
Florida Limited Liability | 2022-06-06 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State