| Entity Name: | CENTER FOR PSYCHIATRY AND BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2009 (16 years ago) |
| Document Number: | L09000017120 |
| FEI/EIN Number | 264306677 |
| Address: | 250 WISHIRE BLVD, CASSELBERRY, FL, 32707, US |
| Mail Address: | 250 WILSHIRE BLVD, CASSELBERRY, FL, 32707, US |
| ZIP code: | 32707 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851531404 | 2009-02-23 | 2024-03-07 | 250 WILSHIRE BLVD STE 158, CASSELBERRY, FL, 327075380, US | 250 WILSHIRE BLVD STE 158, CASSELBERRY, FL, 327075380, US | |||||||||||||||||||||||||||||
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| Phone | +1 407-617-4942 |
| Phone | +1 407-261-5641 |
| Fax | 4072615641 |
Authorized person
| Name | NAOMI V JONES |
| Role | OWNER |
| Phone | 4076174942 |
Taxonomy
| Taxonomy Code | 364SP0807X - Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | ARNP1758192 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | ARNP1758192 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONES RICHARD L | Agent | 8413 RIVER BRANCH PLACE, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| JONES RICHARD L | Manager | 8413 RIVER BRANCH PLACE, SANFORD, FL, 32771 |
| Name | Role | Address |
|---|---|---|
| JONES NAOMI V | Managing Member | 8413 RIVER BRANCH PLACE, SANFORD, FL, 32771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-02 | 250 WISHIRE BLVD, SUITE 158, CASSELBERRY, FL 32707 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 250 WISHIRE BLVD, SUITE 158, CASSELBERRY, FL 32707 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-02-16 | 8413 RIVER BRANCH PLACE, SANFORD, FL 32771 | No data |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-05-02 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-01-12 |
| ANNUAL REPORT | 2016-01-24 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
