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SOUTH BARRETT BEHAVIORAL LLC - Florida Company Profile

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Company Details

Entity Name: SOUTH BARRETT BEHAVIORAL LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 30 Nov 2023 (2 years ago)
Document Number: L23000533566
FEI/EIN Number 93-4726857
Address: 331 TURTLE CV, PANAMA CITY BEACH, FL, 32413, US
Mail Address: 331 TURTLE CV, PANAMA CITY BEACH, FL, 32413, US
ZIP code: 32413
City: Panama City Beach
County: Bay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
SEABORN ADRIENNE M Authorized Member 331 TURTLE CV, PANAMA CITY BEACH, FL, 32413
HILL AUDREY M Authorized Member 331 TURTLE CV, PANAMA CITY BEACH, FL, 32413
- Agent -

National Provider Identifier

NPI Number:
1285528356
Certification Date:
2025-06-04

Authorized Person:

Name:
AUDREY HILL
Role:
OWNER/BCBA
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G25000068234 DUNE LAKES THERAPY GROUP ACTIVE 2025-05-23 2030-12-31 - 331 TURTLE CV, PANAMA CITY BEACH, FL, 32413

Documents

Name Date
ANNUAL REPORT 2024-04-29
Florida Limited Liability 2023-11-30

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Date of last update: 02 Aug 2025

Sources: Florida Department of State