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LUCKY BEHAVIOR SERVICES CORP

Company Details

Entity Name: LUCKY BEHAVIOR SERVICES CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 12 Feb 2021 (4 years ago)
Last Event: AMENDMENT
Event Date Filed: 25 Mar 2021 (4 years ago)
Document Number: P21000012844
FEI/EIN Number 862038774
Address: 2118 KISMET PKWY E, Cape Coral, FL, 33909, US
Mail Address: 2118 KISMET PKWY E, Cape Coral, FL, 33909, US
ZIP code: 33909
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730768797 2021-04-06 2021-05-12 2804 DEL PRADO BLVD S STE 209-2, CAPE CORAL, FL, 339047283, US 3048 DEL PRADO BLVD., UNIT 125, CAPE CORAL, FL, 339047283, US

Contacts

Phone +1 239-298-6868

Authorized person

Name KARELIA MARIA FERNANDEZ
Role PRESIDENT
Phone 2392986868

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes
Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No

Agent

Name Role Address
MARTIN LEDESMY A Agent 2118 KISMET PKWY E, Cape Coral, FL, 33909

President

Name Role Address
FERNANDEZ KARELIA M President 2118 KISMET PKWY E, Cape Coral, FL, 33909

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 2118 KISMET PKWY E, Cape Coral, FL 33909 No data
CHANGE OF MAILING ADDRESS 2022-04-29 2118 KISMET PKWY E, Cape Coral, FL 33909 No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 2118 KISMET PKWY E, Cape Coral, FL 33909 No data
AMENDMENT 2021-03-25 No data No data
AMENDMENT 2021-03-19 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-22
ANNUAL REPORT 2023-07-12
ANNUAL REPORT 2022-04-29
Amendment 2021-03-25
Amendment 2021-03-19
Domestic Profit 2021-02-12

Date of last update: 02 Feb 2025

Sources: Florida Department of State