| Entity Name: | AWC BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 08 Jun 2022 (3 years ago) |
| Document Number: | L22000262685 |
| FEI/EIN Number | 92-3053833 |
| Address: | 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 |
| Mail Address: | 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669103875 | 2022-06-19 | 2023-12-01 | 2701 W OAKLAND PARK BLVD STE 425, OAKLAND PARK, FL, 333111349, US | 370 CAMINO GARDENS BLVD STE 201B, BOCA RATON, FL, 334325837, US | |||||||||||||||||||||
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| Phone | +1 954-274-1701 |
| Phone | +1 954-830-0915 |
| Fax | 5615165529 |
Authorized person
| Name | VIRGINIE PAUL |
| Role | CEO |
| Phone | 9542741701 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN, VIRGINIE | Agent | 370 Camino Gardens Blvd, 201B, Boca Raton, FL 33432-5837 |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN, VIRGINIE | President | 370 Camino Gardens Blvd, 201B Boca Raton, FL 33432-5837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-07-09 | AUGUSTIN, VIRGINIE | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-28 | 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-28 | 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-07-28 | 370 Camino Gardens Blvd, 201B, Boca Raton, FL 33432-5837 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-09 |
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-07-28 |
| Florida Limited Liability | 2022-06-08 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
