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F.R.E.S.H BEHAVIORAL SERVICES, LLC.

Company Details

Entity Name: F.R.E.S.H BEHAVIORAL SERVICES, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Aug 2022 (3 years ago)
Document Number: L22000354061
FEI/EIN Number 92-1438524
Address: 2020 W Fairbanks Ave, Suite 211A, winter park, FL 32789
Mail Address: 2020 W Fairbanks Ave, Suite 211A, winter park, FL 32789
ZIP code: 32789
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649973108 2023-03-23 2024-08-13 2020 W FAIRBANKS AVE STE 211A, WINTER PARK, FL, 327894547, US 2020 W FAIRBANKS AVE STE 211A, WINTER PARK, FL, 327894547, US

Contacts

Phone +1 407-951-5022
Fax 3863102482

Authorized person

Name DR. PRISCILLA HILL
Role CEO
Phone 7723231856

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No
Taxonomy Code 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary Yes

Agent

Name Role Address
HILL, PRISCILLA Agent 1401 HOLLY GLEN RUN, APOPKA, FL 32703

Chief Executive Officer

Name Role Address
Hill, Priscilla Chief Executive Officer 1401 Holly Glen Run, Apopka, FL 32703

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-05 2020 W Fairbanks Ave, Suite 211A, winter park, FL 32789 No data
CHANGE OF MAILING ADDRESS 2023-04-05 2020 W Fairbanks Ave, Suite 211A, winter park, FL 32789 No data

Documents

Name Date
ANNUAL REPORT 2024-03-20
ANNUAL REPORT 2023-01-25
Florida Limited Liability 2022-08-11

Date of last update: 11 Feb 2025

Sources: Florida Department of State