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GRACE BEHAVIORAL SUPPORT SERVICES, INC. - Florida Company Profile

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Company Details

Entity Name: GRACE BEHAVIORAL SUPPORT SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 27 Oct 2015 (10 years ago)
Last Event: AMENDMENT
Event Date Filed: 26 Feb 2016 (10 years ago)
Document Number: N15000010515
FEI/EIN Number 47-5428829
Address: 6671 W Indiantown RD, 50-379, Jupiter, FL, 33458, US
Mail Address: 6671 W Indiantown RD, 50-379, Jupiter, FL, 33458, US
ZIP code: 33458
City: Jupiter
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MILORD CHANTALE Agent 6671 W Indiantown RD, Jupiter, FL, 33458
MAJOR QWONTANNEY Member 6671 W Indiantown RD, Jupiter, FL, 33458
Bascombe Nekeisha DR Member 6671 W Indiantown RD, Jupiter, FL, 33458
AUGUSTIN KENSIA Secretary 6671 W Indiantown RD, Jupiter, FL, 33458
Milord Chantale Member 6671 W Indiantown RD, Jupiter, FL, 33458

National Provider Identifier

NPI Number:
1992177893

Authorized Person:

Name:
ALISON A HEWITT
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
3056812525

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-02-05 3520 NW 191 Street, Miami Gardens, FL 33056 -
REGISTERED AGENT ADDRESS CHANGED 2021-02-05 3520 NW 191 Street, Miami Gardens, FL 33056 -
CHANGE OF PRINCIPAL ADDRESS 2018-02-11 3520 NW 191 Street, Miami Gardens, FL 33056 -
REGISTERED AGENT NAME CHANGED 2017-04-03 MILORD, CHANTALE -
AMENDMENT 2016-02-26 - -

Documents

Name Date
ANNUAL REPORT 2024-01-24
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-02-05
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-03-20
ANNUAL REPORT 2018-02-11
ANNUAL REPORT 2017-04-03
Reg. Agent Change 2016-03-08
Amendment 2016-02-26

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Date of last update: 02 Aug 2025

Sources: Florida Department of State