| Entity Name: | GRACE BEHAVIORAL SUPPORT SERVICES FL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 07 Apr 2016 (9 years ago) |
| Document Number: | P16000032092 |
| FEI/EIN Number | 81-2082827 |
| Address: | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Mail Address: | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| ZIP code: | 33056 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851843940 | 2016-10-25 | 2016-10-25 | 780 FISHERMAN ST STE 250, OPA LOCKA, FL, 330543807, US | 780 FISHERMAN ST STE 210, OPA LOCKA, FL, 330543807, US | |||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 305-681-2500 |
| Fax | 3056812525 |
Authorized person
| Name | MS. CHANTALE MILORD-FERGUSON |
| Role | DIRECTOR |
| Phone | 7865084148 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 101YS0200X - School Counselor |
| Is Primary | No |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Milord, CHANTALE | Agent | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Name | Role | Address |
|---|---|---|
| Milord, Chantale | Chief Executive Officer | 3520 NW 191 Street, Miami Gardens, FL 33056 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2021-02-05 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-05 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-02-11 | 3520 NW 191 Street, Miami Gardens, FL 33056 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-04-03 | Milord, CHANTALE | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-25 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2021-02-05 |
| ANNUAL REPORT | 2020-06-23 |
| ANNUAL REPORT | 2019-03-20 |
| ANNUAL REPORT | 2018-02-11 |
| ANNUAL REPORT | 2017-04-03 |
| Domestic Profit | 2016-04-07 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State
