| Entity Name: | EMPOWERING MINDS BEHAVIORAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 14 Feb 2023 (2 years ago) |
| Document Number: | L23000081907 |
| FEI/EIN Number | 92-2484393 |
| Address: | 6230 LAPIS LN, CRESTVIEW, FL 32539 |
| Mail Address: | 6230 LAPIS LN, CRESTVIEW, FL 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255039830 | 2023-02-22 | 2023-03-18 | 6230 LAPIS LN, CRESTVIEW, FL, 325395425, US | 6230 LAPIS LN, CRESTVIEW, FL, 325395425, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-333-3103 |
| Phone | +1 850-400-6098 |
| Fax | 8662658817 |
Authorized person
| Name | MRS. NATASHA PERRY |
| Role | BCBA |
| Phone | 8503333103 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERRY, NATASHA N | Agent | 6230 LAPIS LN, CRESTVIEW, FL 32539 |
| Name | Role | Address |
|---|---|---|
| PERRY, NATASHA N | Authorized Member | 6230 LAPIS LN, CRESTVIEW, FL 32539 |
| Name | Role | Address |
|---|---|---|
| PERRY, NATASHA N | Manager | 6230 LAPIS LN, CRESTVIEW, FL 32539 |
| PERRY, ROGER J | Manager | 6230 LAPIS LN, CRESTVIEW, FL 32539 UN |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| Florida Limited Liability | 2023-02-14 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
