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EVOLVE BEHAVIORAL SERVICES, CORP

Company Details

Entity Name: EVOLVE BEHAVIORAL SERVICES, CORP
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jul 2024 (6 months ago)
Document Number: P24000048454
FEI/EIN Number 994388642
Address: 1001 N Federal Hwy #326, Hallandale, FL, 33009, US
Mail Address: 1001 N Federal Hwy #326, Hallandale, FL, 33009, US
ZIP code: 33009
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1407688088 2024-08-14 2024-08-14 1001 N FEDERAL HWY STE 326, HALLANDALE BEACH, FL, 330092425, US 1001 N FEDERAL HWY STE 326, HALLANDALE BEACH, FL, 330092425, US

Contacts

Phone +1 305-903-2355

Authorized person

Name LOGAN YOUNG
Role OWNER
Phone 3059032355

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
YOUNG LOGAN Agent 2724 LINCOLN STREET, HOLLYWOOD, FL, 33020

President

Name Role Address
YOUNG LOGAN President 2724 LINCOLN ST, HOLLYWOOD, FL, 33020

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-08-30 1001 N Federal Hwy #326, Hallandale, FL 33009 No data
CHANGE OF MAILING ADDRESS 2024-08-30 1001 N Federal Hwy #326, Hallandale, FL 33009 No data

Documents

Name Date
Domestic Profit 2024-07-22

Date of last update: 02 Feb 2025

Sources: Florida Department of State