| Entity Name: | BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 23 Dec 2005 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Jan 2009 (16 years ago) |
| Document Number: | P05000166774 |
| FEI/EIN Number | 204000470 |
| Address: | 1801 Coral Way, MIAMI, FL, 33145, US |
| Mail Address: | 1801 Coral Way, MIAMI, FL, 33145, US |
| ZIP code: | 33145 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700548062 | 2021-10-13 | 2021-10-13 | 1801 CORAL WAY STE 327, MIAMI, FL, 331452784, US | 1801 CORAL WAY STE 327, MIAMI, FL, 331452784, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 786-866-5914 |
Authorized person
| Name | WILLIAMS JOSE LUCENA |
| Role | AUTHORIZED OFFICIAL |
| Phone | 3057786795 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | LICENSE |
| Number | MH806 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PIEDRA JENNIFER | Agent | 5394 SW 119 AVE, COOPER CITY, FL, 33330 |
| Name | Role | Address |
|---|---|---|
| LUCENA WILLIAMS | President | 200 SE 15TH RD PH-A, MIAMI, FL, 33129 |
| Name | Role | Address |
|---|---|---|
| LUCENA WILLIAMS | Secretary | 200 SE 15TH RD PH-A, MIAMI, FL, 33129 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-30 | 1801 Coral Way, Suite # 405, MIAMI, FL 33145 | No data |
| CHANGE OF MAILING ADDRESS | 2015-04-29 | 1801 Coral Way, Suite # 405, MIAMI, FL 33145 | No data |
| NAME CHANGE AMENDMENT | 2009-01-14 | BRAIN & BEHAVIORAL INSTITUTE OF SOUTH FLORIDA, INC. | No data |
| AMENDMENT AND NAME CHANGE | 2008-07-11 | BRICKELL BEHAVIORAL CENTER, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-02-17 |
| ANNUAL REPORT | 2022-02-15 |
| ANNUAL REPORT | 2021-04-25 |
| ANNUAL REPORT | 2020-03-03 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-23 |
| ANNUAL REPORT | 2017-03-14 |
| ANNUAL REPORT | 2016-03-17 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
