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FAMILY BEHAVIORAL SUPPORT SERVICES, LLC

Company Details

Entity Name: FAMILY BEHAVIORAL SUPPORT SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 28 Oct 2022 (2 years ago)
Last Event: LC NAME CHANGE
Event Date Filed: 09 Nov 2022 (2 years ago)
Document Number: L22000464124
FEI/EIN Number 92-3067382
Address: 3266 Palatka Street, Orlando, FL 32824
Mail Address: 3266 Palatka Street, Orlando, FL 32824
ZIP code: 32824
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992408751 2023-03-22 2023-03-27 1431 SIMPSON RD # 214, KISSIMMEE, FL, 347444604, US 3266 PALATKA ST, ORLANDO, FL, 328247809, US

Contacts

Phone +1 689-271-0918

Authorized person

Name LEIGHANN PITTMAN
Role OWNER
Phone 6892710918

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
PITTMAN, LEIGHANN Agent 3266 PALATKA ST, ORLANDO, FL 32824

Authorized Member

Name Role Address
PITTMAN, LEIGHANN Authorized Member 3266 PALATKA ST, ORLANDO, FL 32824 UN
PITTMAN, JAMES Authorized Member 3266 PALATKA ST, ORLANDO, FL 32824 UN

Authorized Person

Name Role Address
GRIFFIN, SHEREE Authorized Person 3266 PALATKA ST, ORLANDO, FL 32824 UN

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-05 3266 Palatka Street, Orlando, FL 32824 No data
CHANGE OF MAILING ADDRESS 2024-04-05 3266 Palatka Street, Orlando, FL 32824 No data
LC NAME CHANGE 2022-11-09 FAMILY BEHAVIORAL SERVICES, LLC No data

Documents

Name Date
ANNUAL REPORT 2024-04-05
LC Name Change 2022-11-09
Florida Limited Liability 2022-10-28

Date of last update: 11 Jan 2025

Sources: Florida Department of State