| Entity Name: | A BETTER THERAPY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 09 Aug 2004 (20 years ago) |
| Document Number: | N04000007762 |
| FEI/EIN Number | 364559112 |
| Address: | 740 FLORIDA CENTRAL PARKWAY, #2008, LONGWOOD, FL, 32750, US |
| Mail Address: | 740 FLORIDA CENTRAL PARKWAY, #2008, LONGWOOD, FL, 32750, US |
| ZIP code: | 32750 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104965268 | 2007-02-05 | 2017-01-24 | 740 FLORIDA CENTRAL PKWY, #2008, LONGWOOD, FL, 327507651, US | 740 FLORIDA CENTRAL PKWY, #2008, LONGWOOD, FL, 327507651, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-774-2284 |
| Fax | 4077742285 |
Authorized person
| Name | MR. COREY MANUEL |
| Role | PRESIDENT |
| Phone | 4077742284 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 11048 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 015664400 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | WELLCARE |
| Number | 927200 |
| State | FL |
| Issuer | AMERIGROUP PROVIDER NO. |
| Number | 277791 |
| State | FL |
| Issuer | MEDICAID |
| Number | 015664400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BABINGTON SHELLY | Agent | 740 FLORIDA CENTRAL PARKWAY, LONGWOOD, FL, 32750 |
| Name | Role | Address |
|---|---|---|
| MANUEL COREY | President | 740 FLORIDA CENTRAL PARKWAY #2008, LONGWOOD, FL, 32750 |
| Name | Role | Address |
|---|---|---|
| BABINGTON SHELLY L | Secretary | 740 FLORIDA CENTRAL PARKWAY #2008, LONGWOOD, FL, 32750 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-08-25 | 740 FLORIDA CENTRAL PARKWAY, #2008, LONGWOOD, FL 32750 | No data |
| CHANGE OF MAILING ADDRESS | 2015-08-25 | 740 FLORIDA CENTRAL PARKWAY, #2008, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-08-25 | 740 FLORIDA CENTRAL PARKWAY, #2008, LONGWOOD, FL 32750 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-09-20 | BABINGTON, SHELLY | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-03-23 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-03 |
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-05-01 |
| ANNUAL REPORT | 2016-05-02 |
| ANNUAL REPORT | 2015-08-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
