| Entity Name: | BEACON BEHAVIOR CARE SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Mar 2023 (2 years ago) |
| Document Number: | L23000124149 |
| FEI/EIN Number | 92-3327661 |
| Address: | 13499 Biscayne Blvd., #CU 106 UNIT 1, NORTH MIAMI, FL 33181 |
| Mail Address: | 13499 Biscayne Blvd., #CU 106 UNIT 1, NORTH MIAMI, FL 33181 |
| ZIP code: | 33181 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174211742 | 2023-05-01 | 2023-05-08 | 13499 BISCAYNE BLVD., #CU 106, UNIT I, NORTH MIAMI, FL, 331812043, US | 13499 BISCAYNE BLVD., #CU 106, UNIT I, NORTH MIAMI, FL, 331812043, US | |||||||||||||
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| Phone | +1 305-316-1972 |
Authorized person
| Name | LILLIAM MENENDEZ |
| Role | CLINICAL DIRECTOR |
| Phone | 3053161972 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MENENDEZ, LILLIAM | Agent | 1000 QUAYSIDE TERRACE, APT. 608, MIAMI, FL 33138 |
| Name | Role | Address |
|---|---|---|
| MENENDEZ, LILLIAM | President | 1000 QUAYSIDE TERRACE APT. 608, MIAMI, FL 33138 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-25 | 13499 Biscayne Blvd., #CU 106 UNIT 1, NORTH MIAMI, FL 33181 | No data |
| CHANGE OF MAILING ADDRESS | 2023-09-25 | 13499 Biscayne Blvd., #CU 106 UNIT 1, NORTH MIAMI, FL 33181 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-22 |
| Florida Limited Liability | 2023-03-09 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
