Entity Name: | BEHAVIORAL HEALTH OF ORMOND BEACH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Inactive |
Date Filed: | 18 Aug 2006 (18 years ago) |
Date of dissolution: | 26 Sep 2008 (16 years ago) |
Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
Event Date Filed: | 26 Sep 2008 (16 years ago) |
Document Number: | L06000081972 |
FEI/EIN Number | 61-1506998 |
Address: | 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174 |
Mail Address: | 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174 |
ZIP code: | 32174 |
County: | Volusia |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1427247550 | 2007-10-15 | 2016-11-01 | 533 N NOVA RD STE 203, ORMOND BEACH, FL, 321744422, US | 533 N NOVA RD STE 203, ORMOND BEACH, FL, 321744422, US | |||||||||||||||
|
Phone | +1 386-672-7470 |
Fax | 3866720771 |
Authorized person
Name | SANDRA L BROOKS |
Role | OWNER |
Phone | 3866727470 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
PILCHER, G. MICHAEL | Agent | 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174 |
Name | Role | Address |
---|---|---|
PILCHER, G. MICHAEL | Managing Member | 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174 |
BROOKS, SANDRA L | Managing Member | 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2007-04-16 |
Florida Limited Liability | 2006-08-18 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State