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AMBER SCREEN THE EDUCATOR LLC - Florida Company Profile

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Company Details

Entity Name: AMBER SCREEN THE EDUCATOR LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Oct 2022 (3 years ago)
Document Number: L22000435098
FEI/EIN Number 88-4174389
Address: 220 SOUTH CENTRAL AVENUE, #982, BARTOW, FL, 33830
Mail Address: P.O.BOX 982, BARTOW, FL, 33831
ZIP code: 33830
City: Bartow
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SCREEN AMBER V Manager 220 SOUTH CENTRAL AVENUE #982, BARTOW, FL, 33830
SCREEN AMBER V Agent 220 SOUTH CENTRAL AVENUE, BARTOW, FL, 33830

National Provider Identifier

NPI Number:
1669178349
Certification Date:
2023-02-03

Authorized Person:

Name:
AMBER V SCREEN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000133174 THE PLACE ACTIVE 2022-10-25 2027-12-31 - 220 S CENTRAL AVENUE, #982, BARTOW, FL, 33830

Documents

Name Date
ANNUAL REPORT 2024-03-30
ANNUAL REPORT 2023-04-11
Florida Limited Liability 2022-10-10

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Date of last update: 03 Aug 2025

Sources: Florida Department of State