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  5. CHEMICAL DEPENDENCY COUNSELING INCORPORATED

CHEMICAL DEPENDENCY COUNSELING INCORPORATED - Florida Company Profile

Company Details

Entity Name: CHEMICAL DEPENDENCY COUNSELING INCORPORATED
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 08 Apr 1982 (43 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 21 Jun 2010 (15 years ago)
Document Number: 762783
FEI/EIN Number 592178947

Federal Employer Identification (FEI) Number assigned by the IRS.
Address: 4237 Salisbury Road North, SUITE #308, JACKSONVILLE, FL, 32216, US
Mail Address: 4237 Salisbury Road North, Suite 308, JACKSONVILLE, FL, 32216, US
ZIP code: 32216
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700179868 2011-05-24 2011-05-24 300 W ADAMS ST STE 240, JACKSONVILLE, FL, 322024365, US 300 W ADAMS ST STE 240, JACKSONVILLE, FL, 322024365, US

Contacts
Phone +1 904-353-2949
Fax 9043532959

Authorized person
Name MR. JOHN A. DAVIS III
Role PROGRAM MANAGER
Phone 9043532949

Taxonomy
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
License Number MH1184
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
DAVIS KATHY President 4237 Salisbury Road North, JACKSONVILLE, FL, 32216
Davis John A Vice President 4237 Salisbury Road North, JACKSONVILLE, FL, 32216
Watson Sally Secretary 4237 Salisbury Road North, JACKSONVILLE, FL, 32216
Davis John A Agent 4237 Salisbury Road North, JACKSONVILLE, FL, 32216

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G10000064163 FORENSICS AND CRISIS RESPONSE, INC. EXPIRED 2010-07-12 2015-12-31 - 3636 UNIVERSITY BLVD SOUTH, SUITE A7, JACKSONVILLE, FL, 32216

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2014-03-13 4237 Salisbury Road North, SUITE #308, JACKSONVILLE, FL 32216 -
REGISTERED AGENT ADDRESS CHANGED 2014-03-13 4237 Salisbury Road North, Suite 308, JACKSONVILLE, FL 32216 -
CHANGE OF MAILING ADDRESS 2014-03-13 4237 Salisbury Road North, SUITE #308, JACKSONVILLE, FL 32216 -
REGISTERED AGENT NAME CHANGED 2013-04-30 Davis , John A -
REINSTATEMENT 2010-06-21 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 - -
REINSTATEMENT 2005-10-06 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2005-09-16 - -
CANCEL ADM DISS/REV 2004-11-08 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2004-10-01 - -

Documents

Name Date
ANNUAL REPORT 2024-02-03
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-02-17
ANNUAL REPORT 2021-01-28
ANNUAL REPORT 2020-02-10
ANNUAL REPORT 2019-04-04
ANNUAL REPORT 2018-04-02
ANNUAL REPORT 2017-02-27
ANNUAL REPORT 2016-03-21
ANNUAL REPORT 2015-03-23

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DELIVERY ORDER AWARD 15BCTS24F00000383 2024-10-01 2024-10-31 2024-10-31
Unique Award Key CONT_AWD_15BCTS24F00000383_1540_15BCTS19D00000563_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 0.00
Current Award Amount 57174.00
Potential Award Amount 57174.00

Description
Title SUBSTANCE USE AND MENTAL HEALTH TREATMENT SERVICES IN JACKSONVILLE, FLORIDA.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient CHEMICAL DEPENDENCY COUNSELING INC
UEI E1ELKLF6N521
Recipient Address UNITED STATES, 4237 SALISBURY RD N STE 308, JACKSONVILLE, DUVAL, FLORIDA, 322168089
DELIVERY ORDER AWARD 15BCTS24F00000172 2024-07-01 2024-09-30 2024-09-30
Unique Award Key CONT_AWD_15BCTS24F00000172_1540_15BCTS19D00000563_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 70037.00
Current Award Amount 83358.00
Potential Award Amount 83358.00

Description
Title SUBSTANCE USE AND MENTAL HEALTH TREATMENT SERVICES IN JACKSONVILLE, FLORIDA.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient CHEMICAL DEPENDENCY COUNSELING INC
UEI E1ELKLF6N521
Recipient Address UNITED STATES, 4237 SALISBURY RD N STE 308, JACKSONVILLE, DUVAL, FLORIDA, 322168089
DELIVERY ORDER AWARD 15BCTS23F00000233 2023-10-01 2024-06-30 2024-06-30
Unique Award Key CONT_AWD_15BCTS23F00000233_1540_15BCTS19D00000563_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 180605.00
Current Award Amount 300979.00
Potential Award Amount 300979.00

Description
Title SUBSTANCE USE AND MENTAL HEALTH TREATMENT SERVICES IN JACKSONVILLE, FLORIDA.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient CHEMICAL DEPENDENCY COUNSELING INC
UEI E1ELKLF6N521
Recipient Address UNITED STATES, 4237 SALISBURY RD N STE 308, JACKSONVILLE, DUVAL, FLORIDA, 322168089
DELIVERY ORDER AWARD 15BCTS22F00000258 2022-07-01 2022-09-30 2022-09-30
Unique Award Key CONT_AWD_15BCTS22F00000258_1540_15BCTS19D00000563_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 30609.54
Current Award Amount 99558.00
Potential Award Amount 99558.00

Description
Title SUBSTANCE USE AND MENTAL HEALTH TREATMENT SERVICES IN JACKSONVILLE, FLORIDA.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient CHEMICAL DEPENDENCY COUNSELING INC
UEI E1ELKLF6N521
Recipient Address UNITED STATES, 4237 SALISBURY RD N STE 308, JACKSONVILLE, DUVAL, FLORIDA, 322168089
- IDV 15BCTS19D00000563 2019-07-01 - -
Unique Award Key CONT_IDV_15BCTS19D00000563_1540
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 0.00
Potential Award Amount 706654.00

Description
Title SUBSTANCE USE AND MENTAL HEALTH TREATMENT SERVICES IN JACKSONVILLE, FLORIDA.
NAICS Code 621420: OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE CENTERS
Product and Service Codes G004: SOCIAL- SOCIAL REHABILITATION

Recipient Details
Recipient CHEMICAL DEPENDENCY COUNSELING INC
UEI E1ELKLF6N521
Recipient Address UNITED STATES, 4237 SALISBURY RD N STE 308, JACKSONVILLE, DUVAL, FLORIDA, 322168089

Tax Exempt

EIN Type of Organization Exempt Organization Status Address Ruling Date
59-2178947 Corporation Unconditional Exemption 4237 SALISBURY RD STE 308, JACKSONVILLE, FL, 32216-8089 1989-04
In Care of Name -
Group Exemption Number 0000
Subsection Charitable Organization, Educational Organization, Literary Organization, Organization to Prevent Cruelty to Animals, Organization to Prevent Cruelty to Children, Organization for Public Safety Testing, Religious Organization, Scientific Organization
Affiliation Independent - This code is used if the organization is an independent organization or an independent auxiliary (i.e., not affiliated with a National, Regional, or Geographic grouping of organizations).
Classification Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Deductibility Contributions are deductible.
Foundation Organization that normally receives no more than one-third of its support from gross investment income and unrelated business income and at the same time more than one-third of its support from contributions, fees, and gross receipts related to exempt purposes 509(a)(2)
Tax Period 2023-12
Asset 25,000 to 99,999
Income 500,000 to 999,999
Filing Requirement 990 (all other) or 990EZ return
PF Filing Requirement No 990-PF return
Accounting Period Dec
Asset Amount 30191
Income Amount 849747
Form 990 Revenue Amount 849747
National Taxonomy of Exempt Entities -
Sort Name -

Publication 78 Data
Description Organizations eligible to receive tax-deductible charitable contributions. Users may rely on this list in determining deductibility of their contributions.
On Publication 78 Data List Yes
Deductibility Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns (990, 990-EZ, 990-PF, 990-T)
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 202212
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 202112
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 201912
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 201812
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 201712
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 201612
Filing Type E
Return Type 990
File View File
Organization Name CHEMICAL DEPENDENCY COUNSELING INC
EIN 59-2178947
Tax Period 201512
Filing Type E
Return Type 990
File View File

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4839247109 2020-04-13 0491 PPP 4237 Salisbury Road North Suite 308, JACKSONVILLE, FL, 32216
Loan Status Date 2021-08-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 64100
Loan Approval Amount (current) 64100
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94425
Servicing Lender Name VyStar CU
Servicing Lender Address 76 S Laura St, JACKSONVILLE, FL, 32202
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32216-0001
Project Congressional District FL-05
Number of Employees 4
NAICS code 621420
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 94293
Originating Lender Name 121 Financial CU, A Division of VyStar Credit Union
Originating Lender Address Jacksonville, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 64878.1
Forgiveness Paid Date 2021-07-06

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Companies related by address

No other companies in our directory share the same address as CHEMICAL DEPENDENCY COUNSELING INCORPORATED

Date of last update: 01 Mar 2025

Sources: Florida Department of State

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