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BEHAVIORAL HEALTH OF ORMOND BEACH, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PILCHER, G. MICHAEL Agent 533 N. NOVA ROAD, SUITE 203, ORMOND BEACH, FL 32174

Managing Member

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

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

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