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CONNECTING PIECES AUTISM CENTER, LLC

Company Details

Entity Name: CONNECTING PIECES AUTISM CENTER, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 15 Jun 2023 (2 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 26 Jun 2023 (2 years ago)
Document Number: L23000289299
FEI/EIN Number 93-1850928
Mail Address: 1919 DEEP CREEK DRIVE, LAKELAND, FL 33810
Address: 2420 CRYSTAL LAKE DRIVE, 104, LAKELAND, FL 33801
ZIP code: 33801
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194586776 2024-01-19 2024-01-19 1919 DEEP CREEK DR, LAKELAND, FL, 338100655, US 2420 N CRYSTAL LAKE DR STE 104, LAKELAND, FL, 338016205, US

Contacts

Phone +1 863-324-1998

Authorized person

Name KEITHELL WILLIAMS
Role OWNER
Phone 8633241998

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
WILLIAMS, KEITHELL L Agent 2420 CRYSTAL LAKE DRIVE, 104, LAKELAND, FL 33801

Manager

Name Role Address
WILLIAMS, DEAREST LAJUANA Manager 1919 DEEP CREEK DRIVE, LAKELAND, FL 33810

Authorized Member

Name Role Address
WILLIAMS, KEITHELL LEANDER Authorized Member 2420 CRYSTAL LAKE DRIVE, 104 LAKELAND, FL 33801

Events

Event Type Filed Date Value Description
LC AMENDMENT 2023-06-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-02
LC Amendment 2023-06-26
Florida Limited Liability 2023-06-15

Date of last update: 09 Jan 2025

Sources: Florida Department of State