| Entity Name: | LIFE SKILLS KID THERAPY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 02 Sep 2015 (9 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Oct 2024 (3 months ago) |
| Document Number: | P15000073602 |
| FEI/EIN Number | 47-5013070 |
| Address: | 730 W Sand Lakes, Orland, FL, 32809, US |
| Mail Address: | 730 W Sand Lakes, Orlando, FL, 32809, US |
| ZIP code: | 32809 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720457542 | 2015-09-22 | 2021-02-01 | 1411 SAWGRASS CORPORATE PKWY, SUITE B20, SUNRISE, FL, 333232888, US | 1411 SAWGRASS CORPORATE PKWY, SUITE B20, SUNRISE, FL, 333232888, US | |||||||||||||||||||||||||
|
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| Phone | +1 954-237-1903 |
| Fax | 8885576906 |
Authorized person
| Name | BRIAN NEBLETT |
| Role | CEO |
| Phone | 3059103247 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018811100 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Veranes Joanna | Agent | 730 W Sand Lakes, Orlando, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| Veranes Joanna | Manager | 730 W Sand Lakes, Orlando, FL, 32809 |
| Name | Role | Address |
|---|---|---|
| Veranes Joanna | President | 11842 SW 188 ter., Miami, FL, 33172 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-10-30 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-10-30 | 730 W Sand Lakes, 128, Orland, FL 32809 | No data |
| CHANGE OF MAILING ADDRESS | 2024-10-30 | 730 W Sand Lakes, 128, Orland, FL 32809 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-10-30 | Veranes, Joanna | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-10-30 | 730 W Sand Lakes, 128, Orlando, FL 32809 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-10-30 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-04-24 |
| AMENDED ANNUAL REPORT | 2021-06-23 |
| ANNUAL REPORT | 2021-03-09 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-04-18 |
| ANNUAL REPORT | 2018-04-16 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
