| Entity Name: | PRESTIGE BEHAVIORAL & MENTAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 07 Feb 2018 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 18 May 2018 (7 years ago) |
| Document Number: | P18000012924 |
| FEI/EIN Number | 824376967 |
| Address: | 16241 SW 88TH ST, MIAMI, FL, 33196, UN |
| Mail Address: | 8720 SW 124th ST, MIAMI, 33176, UN |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962908988 | 2018-03-30 | 2018-03-30 | 10505 SW 146TH AVE, MIAMI, FL, 331862904, US | 16241 SW 88TH ST, MIAMI, FL, 331964912, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 305-305-7380 |
| Phone | +1 305-921-9337 |
Authorized person
| Name | GIPSY DE LA PAZ |
| Role | HUMAN RESORCES SUPERVISOR |
| Phone | 3053057380 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DE LA PAZ JORGE | Agent | 8720 SW 124th ST, MIAMI, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| DE LA PAZ JORGE | President | 8720 SW 124th ST, Miami, FL, 33176 |
| Name | Role | Address |
|---|---|---|
| DE LA PAZ GIPSY | Vice President | 8720 SW 124th ST, MIAMI, FL, 33176 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-01-22 | 16241 SW 88TH ST, MIAMI, FL 33196 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-01-22 | 8720 SW 124th ST, MIAMI, FL 33176 | No data |
| AMENDMENT | 2018-05-18 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-01-20 |
| Amendment | 2018-05-18 |
| Domestic Profit | 2018-02-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
