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 |
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 | |||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
WITHERSPOON LEOLA D | Agent | 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311 |
Name | Role | Address |
---|---|---|
WITHERSPOON LEOLA D | President | 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311 |
Name | Role | Address |
---|---|---|
WITHERSPOON JIMMY B | Vice President | 2677 NW 9TH STREET, FORT LAUDERDALE, FL, 33311 |
Name | Role | Address |
---|---|---|
Smith Virginia | Treasurer | 2740 NW 24th Court, Fort Lauderdale, FL, 33311 |
Name | Role | Address |
---|---|---|
Lawson James | Secretary | 212 nw 7th Ct, Hallandale Beach, FL, 33009 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-04-30 | 4100 S Hospital Drive, Suite 100, Plantation, FL 33317 | No data |
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