Entity Name: | ABC BEHAVIORAL SERVICES CORP |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 19 Aug 2019 (5 years ago) |
Document Number: | P19000066382 |
FEI/EIN Number | 84-2842033 |
Address: | 8910 N DALE MABRY HWY, TAMPA, FL, 33614, US |
Mail Address: | 8910 N DALE MABRY HWY, TAMPA, FL, 33614, US |
ZIP code: | 33614 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1700423316 | 2019-12-02 | 2024-08-06 | 7218 N LOIS AVE, TAMPA, FL, 336143161, US | 7218 N LOIS AVE, TAMPA, FL, 336143161, US | |||||||||||||||||
|
Phone | +1 305-988-2969 |
Authorized person
Name | LIANET MUNOZ |
Role | VP |
Phone | 3059882969 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Taxonomy Code | 364SP0807X - Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
Is Primary | No |
Name | Role | Address |
---|---|---|
MUNOZ LIANET | Agent | 7218 N LOIS AVE, TAMPA, FL, 33614 |
Name | Role | Address |
---|---|---|
CRUZ YEIMIS | President | 7218 LOIS AVE, TAMPA, FL, 33614 |
Name | Role | Address |
---|---|---|
MUNOZ LIANET | Vice President | 7218 N LOIS AVE, TAMPA, FL, 33614 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 8910 N DALE MABRY HWY, SUITE 38, TAMPA, FL 33614 | No data |
CHANGE OF MAILING ADDRESS | 2022-01-31 | 8910 N DALE MABRY HWY, SUITE 38, TAMPA, FL 33614 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-13 |
ANNUAL REPORT | 2023-01-05 |
ANNUAL REPORT | 2022-01-31 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-01-16 |
Domestic Profit | 2019-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State