| Entity Name: | PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PEDIATRIC BEHAVIORAL HEALTH ASSOCIATES, INC. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 08 Mar 2018 (7 years ago) |
| Document Number: | P18000022863 |
| FEI/EIN Number |
83-4141335
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5818 SE AGNEW RD, BELLEVIEW, FL, 34420, US |
| Mail Address: | 5818 SE AGNEW RD, BELLEVIEW, FL, 34420, US |
| ZIP code: | 34420 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174385470 | 2024-01-23 | 2024-03-20 | 2735 SE 140TH PL, SUMMERFIELD, FL, 344912877, US | 5818 SE AGNEW RD, BELLEVIEW, FL, 344204020, US | |||||||||||||
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| Phone | +1 561-715-5910 |
Authorized person
| Name | DR. NICOLE WOLLER |
| Role | PRESIDENT |
| Phone | 5617061004 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOLLER NICOLE | President | 5818 SE AGNEW RD, BELLEVIEW, FL, 34420 |
| WOLLER NIKKI | Agent | 5818 SE AGNEW RD, BELLEVIEW, FL, 34420 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G25000047493 | PEDIATRIC BEHAVIORAL HEALTH INSTITUTE | ACTIVE | 2025-04-07 | 2030-12-31 | - | 5818 SE AGNEW ROAD, BELLEVIEW, FL, 34421 |
| G19000039279 | PEDIATRIC BEHAVIORAL HEALTH INSTITUTE OF MARION COUNTY | EXPIRED | 2019-03-26 | 2024-12-31 | - | 2735 SE 140 PL, SUMMERFIELD, FL, 34491 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-28 | 5818 SE AGNEW RD, BELLEVIEW, FL 34420 | - |
| CHANGE OF MAILING ADDRESS | 2020-06-28 | 5818 SE AGNEW RD, BELLEVIEW, FL 34420 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-28 | 5818 SE AGNEW RD, BELLEVIEW, FL 34420 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-19 |
| ANNUAL REPORT | 2022-04-16 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-28 |
| ANNUAL REPORT | 2019-04-30 |
| Domestic Profit | 2018-03-08 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
