| Entity Name: | GRACE BEHAVIORAL SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 27 Oct 2015 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Feb 2016 (9 years ago) |
| Document Number: | N15000010515 |
| FEI/EIN Number | 47-5428829 |
| Address: | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Mail Address: | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992177893 | 2015-10-30 | 2015-10-30 | 780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL, 330543806, US | 780 FISHERMAN ST, SUITE 250, OPA LOCKA, FL, 330543806, US | |||||||||||||||||||
|
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| Phone | +1 305-681-2500 |
| Fax | 3056812525 |
Authorized person
| Name | ALISON A HEWITT |
| Role | COO |
| Phone | 3056812500 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILORD, CHANTALE | Agent | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Name | Role | Address |
|---|---|---|
| MAJOR, QWONTANNEY | Member | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Bascombe, Nekeisha, DR | Member | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Milord, Chantale | Member | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Name | Role | Address |
|---|---|---|
| AUGUSTIN, KENSIA | Secretary | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Name | Role | Address |
|---|---|---|
| Milord, Chantale | Chair | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-05 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-05 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-11 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-03 | MILORD, CHANTALE | No data |
| AMENDMENT | 2016-02-26 | No data | No data |
| 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 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
