| Entity Name: | ADVANCED BEHAVIORAL HEALTH CONSULTS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2022 (2 years ago) |
| Document Number: | L22000460319 |
| FEI/EIN Number | 88-4214881 |
| Address: | 3350 SW 148TH AVE, SUITE 110, MIRAMAR, FL, 33027, US |
| Mail Address: | 3350 SW 148TH AVE, SUITE 110, MIRAMAR, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710663646 | 2023-06-26 | 2023-09-29 | 3350 SW 148 AVE 110, MIRAMAR, FL, 33027, US | 3350 SW 148 AVE 110, MIRAMAR, FL, 33027, US | |||||||||||||
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| Phone | +1 786-541-5472 |
Authorized person
| Name | MS. AFIA TYSON |
| Role | OFFICE |
| Phone | 7865415472 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TYSON AFIA | Agent | 3350 SW 148TH AVE, MIRAMAR, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| Tyson Afia | Manager | 3350 SW 148TH AVE, MIRAMAR, FL, 33027 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-01-22 |
| Florida Limited Liability | 2022-10-26 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
