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LEGACY COMMUNITY SOLUTIONS INCORPORATED

Company Details

Entity Name: LEGACY COMMUNITY SOLUTIONS INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 15 Mar 2019 (6 years ago)
Document Number: N19000003018
FEI/EIN Number 83-4123555
Address: 4100 S Hospital Drive, Plantation, FL, 33317, US
Mail Address: 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311
ZIP code: 33317
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1275212573 2023-07-13 2024-01-25 4100 S HOSPITAL DR STE 100, PLANTATION, FL, 333172831, US 4100 S HOSPITAL DR STE 100, PLANTATION, FL, 333172831, US

Contacts

Phone +1 954-769-1055
Fax 9545331739

Authorized person

Name LEOLA WITHERSPOON
Role PRESIDENT
Phone 9542741053

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 324500000X - Substance Abuse Rehabilitation Facility
Is Primary No
Taxonomy Code 3245S0500X - Children's Substance Abuse Rehabilitation Facility
Is Primary No

Agent

Name Role Address
WITHERSPOON LEOLA D Agent 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311

President

Name Role Address
WITHERSPOON LEOLA D President 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311

Vice President

Name Role Address
WITHERSPOON JIMMY B Vice President 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311

Treasurer

Name Role Address
Smith Virginia Treasurer 2740 NW 24th Court, Fort Lauderdale, FL, 33311

Secretary

Name Role Address
Lawson James Secretary 212 nw 7th Ct, Hallandale Beach, FL, 33009

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-30 4100 S Hospital Drive, Suite 100, Plantation, FL 33317 No data

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-04-30
ANNUAL REPORT 2020-06-26
Domestic Non-Profit 2019-03-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State