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HEAVINGLY BEHAVIOR SERVICES INC

Company Details

Entity Name: HEAVINGLY BEHAVIOR SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 01 Jul 2021 (4 years ago)
Date of dissolution: 17 Oct 2022 (2 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 17 Oct 2022 (2 years ago)
Document Number: P21000061370
FEI/EIN Number 87-1939916
Address: 9160 FORUM CORPORATE PARKWAY, SUITE 350, FT. MYERS, FL 33905
Mail Address: 9160 FORUM CORPORATE PARKWAY, SUITE 350, FT. MYERS, FL 33905
ZIP code: 33905
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346984853 2022-04-21 2022-04-21 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL, 339057808, US 9160 FORUM CORPORATE PKWY STE 350, FORT MYERS, FL, 339057808, US

Contacts

Phone +1 239-789-4700

Authorized person

Name MRS. MARLEN E MORALES
Role VICE PRESIDENT
Phone 7863514493

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
MORALES, MARLEN EMELY, VP Agent 15701 SW 139TH CT, MIAMI, FL 33177

President

Name Role Address
CARRION CRUZ, MARLENE President 15701 SW 139TH CT, MIAMI, FL 33177

Vice President

Name Role Address
MORALES, MARLEN Vice President 9587 SW 148 AVE CIR S, MIAMI, FL 33196

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-10-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-02-03 9160 FORUM CORPORATE PARKWAY, SUITE 350, FT. MYERS, FL 33905 No data
CHANGE OF MAILING ADDRESS 2022-02-03 9160 FORUM CORPORATE PARKWAY, SUITE 350, FT. MYERS, FL 33905 No data
REGISTERED AGENT NAME CHANGED 2022-02-03 MORALES, MARLEN EMELY, VP No data
REGISTERED AGENT ADDRESS CHANGED 2022-01-19 15701 SW 139TH CT, MIAMI, FL 33177 No data

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-10-17
AMENDED ANNUAL REPORT 2022-02-03
ANNUAL REPORT 2022-01-19
Domestic Profit 2021-07-01

Date of last update: 14 Jan 2025

Sources: Florida Department of State