| Entity Name: | TRANSITIONS BEHAVIORAL AND SUPPORT SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 15 Jun 2010 (15 years ago) |
| Date of dissolution: | 30 Apr 2012 (13 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 30 Apr 2012 (13 years ago) |
| Document Number: | P10000050602 |
| FEI/EIN Number | 80-0607665 |
| Address: | 10507 NW 146TH PLACE, ALACHUA, FL 32615 |
| Mail Address: | 10507 NW 146TH PLACE, ALACHUA, FL 32615 |
| ZIP code: | 32615 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639456338 | 2011-11-08 | 2011-11-08 | 10507 NW 146TH PL, ALACHUA, FL, 326155723, US | 10507 NW 146TH PL, ALACHUA, FL, 326155723, US | |||||||||||||||||||||||||||||||
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| Phone | +1 352-284-0055 |
| Fax | 3864621795 |
Authorized person
| Name | MRS. TAWANNA KAY LUMPKINS |
| Role | CEO, DIRECTOR OF SUPPORT SERVICES |
| Phone | 3522840055 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 0-05-1666 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 751351898 |
| State | FL |
| Issuer | MEDICAID |
| Number | 751351896 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LUMPKINS, TAWANNA K | Agent | 10507 NW 146TH PLACE, ALACHUA, FL 32615 |
| Name | Role | Address |
|---|---|---|
| LUMPKINS, TAWANNA K | Director | 10507 NW 146TH PLACE, ALACHUA, FL 32615 |
| PRINGLE, JOHN SAMUEL CO-DIR | Director | 326 OAK TRACK LOOP, OCALA, FL 34472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CONVERSION | 2012-04-30 | No data | CONVERSION MEMBER. RESULTING CORPORATION WAS L12000058367. CONVERSION NUMBER 900000122179 |
| AMENDMENT | 2010-07-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2011-08-26 |
| Amendment | 2010-07-16 |
| Domestic Profit | 2010-06-15 |
Date of last update: 25 Jan 2025
Sources: Florida Department of State
