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AWC BEHAVIORAL HEALTH LLC - Florida Company Profile

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Company Details

Entity Name: AWC BEHAVIORAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 08 Jun 2022 (3 years ago)
Document Number: L22000262685
FEI/EIN Number 923833305
Mail Address: 7618 MARGATE BLVD, MARGATE, FL, 33063, US
Address: 370 CAMINO GARDENS BLVD, 201B, BOCA RATON, FL, 33432, US
ZIP code: 33432
City: Boca Raton
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
AUGUSTIN VIRGINIE Agent 370 Camino Gardens Blvd, Boca Raton, FL, 334325837
AUGUSTIN VIRGINIE Auth 370 Camino Gardens Blvd, Boca Raton, FL, 334325837

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
VIRGINIE AUGUSTIN
Ownership and Self-Certifications:
Black American, Other Minority Owned, Woman Owned
User ID:
P3406707

Unique Entity ID

Unique Entity ID:
G1M9ZNLDKJW5
CAGE Code:
12TB9
UEI Expiration Date:
2026-05-28

Business Information

Activation Date:
2025-05-30
Initial Registration Date:
2025-05-28

Commercial and government entity program

CAGE number:
12TB9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-05-30
CAGE Expiration:
2030-05-30
SAM Expiration:
2026-05-28

Contact Information

POC:
VIRGINIE AUGUSTIN

National Provider Identifier

NPI Number:
1669103875
Certification Date:
2023-12-01

Authorized Person:

Name:
VIRGINIE PAUL
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fax:
5615165529

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-07-09 AUGUSTIN, VIRGINIE -
CHANGE OF PRINCIPAL ADDRESS 2023-07-28 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 -
CHANGE OF MAILING ADDRESS 2023-07-28 2701 W OAKLAND PARK BLVD, SUITE 425, OAKLAND PARK, FL 33311 -
REGISTERED AGENT ADDRESS CHANGED 2023-07-28 370 Camino Gardens Blvd, 201B, Boca Raton, FL 33432-5837 -

Documents

Name Date
AMENDED ANNUAL REPORT 2024-07-09
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-07-28
Florida Limited Liability 2022-06-08

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Date of last update: 02 Aug 2025

Sources: Florida Department of State