Entity Name: | ACCESS BEHAVIORAL CARE ASSOCIATES, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 30 Jun 1992 (33 years ago) |
Document Number: | V48038 |
FEI/EIN Number | 593130957 |
Address: | 6000 TURKEY LAKE RD, STE 211, ORLANDO, FL, 32819-4426, US |
Mail Address: | 6000 TURKEY LAKE RD, STE 211, ORLANDO, FL, 32819-4426, US |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326287137 | 2009-02-18 | 2009-02-18 | 6000 TURKEY LAKE RD, SUITE 211, ORLANDO, FL, 328194200, US | 6000 TURKEY LAKE RD, SUITE 211, ORLANDO, FL, 328194200, US | |||||||||||||||||||
|
Phone | +1 407-370-2588 |
Fax | 4073702346 |
Authorized person
Name | DR. WILLIAM W AUSTIN |
Role | LICENSED PSYCHOLOGIST |
Phone | 4073702588 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
License Number | PY 3716 |
State | FL |
Is Primary | Yes |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
ACCESS BEHAVIORAL CARE ASSOCIATES, P.A. 401(K) PLAN | 2023 | 593130957 | 2024-05-22 | ACCESS BEHAVIORAL CARE ASSOCIATES, P.A. | 0 | |||||||||||||||||||||||||||||||
|
Administrator’s EIN | 474474775 |
Plan administrator’s name | GUIDELINE, INC. |
Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
Administrator’s telephone number | 8882283491 |
Signature of
Role | Plan administrator |
Date | 2024-05-22 |
Name of individual signing | QIAN LIU |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role | Address |
---|---|---|
AUSTIN, WILLIAM W. | Agent | 6000 TURKEY LAKE RD, ORLANDO, FL, 32819 |
Name | Role | Address |
---|---|---|
Austin William WDr. | Director | 6000 TURKEY LAKE RD STE 211, ORLANDO, FL, 32819 |
Name | Role | Address |
---|---|---|
AUSTIN, WILLIAM W. | President | 6000 TURKEY LAKE RD STE 211, ORLANDO, FL, 32819 |
Name | Role | Address |
---|---|---|
AUSTIN, WILLIAM W. | Secretary | 6000 TURKEY LAKE RD STE 211, ORLANDO, FL, 32819 |
Name | Role | Address |
---|---|---|
AUSTIN, WILLIAM W. | Treasurer | 6000 TURKEY LAKE RD STE 211, ORLANDO, FL, 32819 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
NAME CHANGE AMENDMENT | 1997-02-13 | ACCESS BEHAVIORAL CARE ASSOCIATES, P.A. | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State