Entity Name: | DIAMOND CHILD BEHAVIORAL SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 06 Feb 2023 (2 years ago) |
Document Number: | L23000066880 |
FEI/EIN Number | NOT APPLICABLE |
Address: | 220 KETTERING COURT, LONGWOOD, FL, 32779, US |
Mail Address: | 220 KETTERING COURT, LONGWOOD, FL, 32779 |
ZIP code: | 32779 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1669219374 | 2024-07-10 | 2024-07-10 | 220 KETTERING CT, LONGWOOD, FL, 327794519, US | 220 KETTERING CT, LONGWOOD, FL, 327794519, US | |||||||||||||||||||
|
Phone | +1 407-866-5152 |
Fax | 4078665152 |
Authorized person
Name | MS. ANDREA BRADLEY |
Role | OWNER |
Phone | 4078665152 |
Taxonomy
Taxonomy Code | 106S00000X - Behavior Technician |
Is Primary | Yes |
Taxonomy Code | 385H00000X - Respite Care |
Is Primary | No |
Name | Role | Address |
---|---|---|
BRADLEY ANDREA | Agent | 220 KETTERING COURT, LONGWOOD, FL, 32779 |
Name | Role | Address |
---|---|---|
Bradley Andrea | Manager | 220 Kettering Ct, Longwood, FL, 32779 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-24 |
Florida Limited Liability | 2023-02-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State