| Entity Name: | A&M BEHAVIORAL INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 05 Oct 2017 (7 years ago) |
| Document Number: | P17000080603 |
| FEI/EIN Number | 82-3038202 |
| Address: | 2655 S LE JEUNE RD, CORAL GABLES, FL, 33134, US |
| Mail Address: | 12000 SW 39 TER, MIAMI, FL, 33175, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275044489 | 2017-10-14 | 2024-10-30 | 2655 S LE JEUNE RD STE 316, CORAL GABLES, FL, 331345832, US | 2655 S LE JEUNE RD STE 316, CORAL GABLES, FL, 331345832, US | |||||||||||||||||||||||||
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| Phone | +1 786-505-2597 |
| Fax | 7865049808 |
Authorized person
| Name | CARLOS ALAYON |
| Role | PRESIDENT |
| Phone | 7865146406 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH6084 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022617200 |
| State | FL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A&M BEHAVIORAL INC 401K | 2023 | 823038202 | 2024-07-17 | A&M BEHAVIORAL INC | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-17 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 002 |
| Effective date of plan | 2022-02-01 |
| Business code | 622000 |
| Sponsor’s telephone number | 7865431865 |
| Plan sponsor’s address | 2655 S LE JEUNE RD, STE 316, CORAL GABLES, FL, 33134 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-29 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ALAYON CARLOS M | Agent | 12000 SW 39 TER, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| ALAYON CARLOS M | President | 12000 SW 39TH TER, MIAMI, FL, 33175 |
| Name | Role | Address |
|---|---|---|
| Molina Argenis | Vice President | 12000 SW 39 TER, MIAMI, FL, 33175 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G17000111975 | A&M GROUP | ACTIVE | 2017-10-10 | 2027-12-31 | No data | 12000 SW 39TH TERRACE, MIAMI, FL, 33175 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-14 | 2655 S LE JEUNE RD, STE PH2A-12, CORAL GABLES, FL 33134 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-14 | 3818 72ND AVE NE, NAPLES, FL 34120 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-01-20 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-01-30 |
| AMENDED ANNUAL REPORT | 2021-07-15 |
| AMENDED ANNUAL REPORT | 2021-02-06 |
| ANNUAL REPORT | 2021-01-14 |
| ANNUAL REPORT | 2020-01-04 |
| ANNUAL REPORT | 2019-01-25 |
| ANNUAL REPORT | 2018-01-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
