| Entity Name: | KIWI BEHAVIORAL THERAPY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Jul 2022 (3 years ago) |
| Document Number: | L22000308238 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 401 NE 2ND AVE, HALLANDALE BEACH, FL 33009 |
| Mail Address: | 401 NE 2ND AVE, HALLANDALE BEACH, FL 33009 |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033837844 | 2022-08-17 | 2022-08-17 | 107 NE 3RD ST, HALLANDALE BEACH, FL, 330094218, US | 107 NE 3RD ST, HALLANDALE BEACH, FL, 330094218, US | |||||||||||||
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| Phone | +1 954-256-0357 |
Authorized person
| Name | CHARLENE FRIES |
| Role | OWNER |
| Phone | 9546629796 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FRIES, CHARLENE M | Agent | 1446 POLK ST, HOLLYWOOD, FL 33020 |
| Name | Role | Address |
|---|---|---|
| FRIES, CHARLENE | Manager | 1446 POLK ST, HOLLYWOOD, FL 33020 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-23 | 401 NE 2ND AVE, HALLANDALE BEACH, FL 33009 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-10 | 401 NE 2ND AVE, HALLANDALE BEACH, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-10 | 401 NE 2ND AVE, HALLANDALE BEACH, FL 33009 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-30 |
| Florida Limited Liability | 2022-07-11 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
