| Entity Name: | BETTER SELVES COUNSELING SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 16 Dec 2019 (5 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 18 Jul 2022 (3 years ago) |
| Document Number: | P19000094399 |
| FEI/EIN Number | 84-4164622 |
| Address: | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 |
| Mail Address: | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 |
| ZIP code: | 33069 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023750916 | 2022-04-11 | 2022-04-11 | 4091 CYPRESS REACH CT APT 306, POMPANO BEACH, FL, 330694906, US | 4091 CYPRESS REACH CT APT 306, POMPANO BEACH, FL, 330694906, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 954-271-1208 |
Authorized person
| Name | LEO BALSEIRO |
| Role | MENTAL HEALTH COUNSELOR |
| Phone | 7868790635 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1043850696 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BALSEIRO, LEO T | Agent | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 |
| Name | Role | Address |
|---|---|---|
| BALSEIRO, LEO T | President | 1000 W. McNab Rd, Ste 259 POMPANO BEACH, FL 33069 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-23 | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-23 | 1000 W. McNab Rd, Ste 259, POMPANO BEACH, FL 33069 | No data |
| REINSTATEMENT | 2022-07-18 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-07-18 | BALSEIRO, LEO T | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-01-23 |
| REINSTATEMENT | 2022-07-18 |
| Domestic Profit | 2019-12-16 |
Date of last update: 15 Feb 2025
Sources: Florida Department of State
