Entity Name: | DISTINCT BEHAVIORAL HEALTH INCORPORATED |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Profit Corporation |
Status: | Active |
Date Filed: | 12 Oct 2023 (a year ago) |
Document Number: | P23000072869 |
FEI/EIN Number | 93-3874739 |
Address: | 9050 PINES BLVD, SUITE 362, PEMBROKE PINES, FL 33024 |
Mail Address: | 9050 PINES BLVD, SUITE 362, PEMBROKE PINES, FL 33024 |
ZIP code: | 33024 |
County: | Broward |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1912788100 | 2023-10-12 | 2023-10-12 | 9050 PINES BLVD STE 362, PEMBROKE PINES, FL, 330246422, US | 9050 PINES BLVD STE 362, PEMBROKE PINES, FL, 330246422, US | |||||||||||||||
|
Phone | +1 954-298-6031 |
Fax | 9544994211 |
Authorized person
Name | DR. STEVE AKINBEHINJE |
Role | PMHNP |
Phone | 9542986031 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
AKINBEHINJE, STEPHANIE | Agent | 9050 PINES BLVD, SUITE 362, PEMBROKE PINES, FL 33024 |
Name | Role | Address |
---|---|---|
AKINBEHINJE, STEVE O, DR | President | 9050 PINES BLVD. SUITE 362, PEMBROKE PINES, FL 33024 UN |
Name | Role | Address |
---|---|---|
AKINBEHINJE, STEPHANIE | V.P | 19362 SW 39TH ST, MIRAMAR, FL 33029 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-09 |
Domestic Profit | 2023-10-12 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State