Entity Name: | DIAMOND BEHAVIORAL HEALTH CENTER PBG, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 03 Oct 2023 (a year ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 25 Oct 2023 (a year ago) |
Document Number: | L23000455264 |
FEI/EIN Number | 93-3716234 |
Address: | 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 |
Mail Address: | 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 |
ZIP code: | 33403 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649044041 | 2023-11-07 | 2024-03-12 | 8841 LYNDALL LN, PALM BEACH GARDENS, FL, 334031639, US | 8841 LYNDALL LN, PALM BEACH GARDENS, FL, 334031639, US | |||||||||||||||||||||||
|
Phone | +1 772-812-9652 |
Fax | 8335350164 |
Authorized person
Name | JARED TURNER |
Role | BILLING MANAGER |
Phone | 7728129652 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
Is Primary | Yes |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
Is Primary | No |
Name | Role | Address |
---|---|---|
CAPRIO, JAMES | Agent | 2300 WESTON ROAD, STE 202, WESTON, FL 33326 |
Name | Role | Address |
---|---|---|
CAPRIO, JAMES | Manager | 2300 WESTON ROAD, STE 202, WESTON, FL 33326 |
MULTZ, ADAM | Manager | 2300 WESTON ROAD, STE 202, WESTON, FL 33326 |
Muriel, Sergio | Manager | 18619 Ocean Mist Dr, Boca Raton, FL 33498 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2023-10-25 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-10-25 | 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 | No data |
CHANGE OF MAILING ADDRESS | 2023-10-25 | 8841 LYNDALL LANE, PALM BEACH GARDENS, FL 33403 | No data |
Name | Date |
---|---|
AMENDED ANNUAL REPORT | 2024-02-22 |
ANNUAL REPORT | 2024-02-20 |
LC Amendment | 2023-10-25 |
Florida Limited Liability | 2023-10-03 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State