| Entity Name: | FIRST COAST BEHAVIOR SOLUTIONS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 05 Oct 2009 (15 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 04 Nov 2010 (14 years ago) |
| Document Number: | L09000096355 |
| FEI/EIN Number | 454235675 |
| Address: | 2317 Blanding Boulevard, JACKSONVILLE, FL, 32210, US |
| Mail Address: | 2317 Blanding Boulevard, JACKSONVILLE, FL, 32210, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720326382 | 2013-01-16 | 2018-09-11 | 2317 BLANDING BLVD STE 102, JACKSONVILLE, FL, 322104167, US | 2317 BLANDING BLVD STE 102, JACKSONVILLE, FL, 32210, US | |||||||||||||||||||
|
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| Phone | +1 904-200-7979 |
| Fax | 9043875890 |
Authorized person
| Name | KIMBERLY CRUISE |
| Role | OWNER/ CLINICAL DIRECTOR |
| Phone | 9044768956 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH-10245 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRUISE KIMBERLY | Agent | 5727 Swamp Fox Rd, Jacksonville, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| Cruise Kimberly | Manager | 5727 Swamp Fox Rd, Jacksonville, FL, 32210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000042195 | KIMBERLY CRUISE LMHC | EXPIRED | 2013-05-02 | 2018-12-31 | No data | 5058 BLACKBURN STREET, JACKSONVILLE, FL, 32210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-02-11 | 2317 Blanding Boulevard, STE 102, JACKSONVILLE, FL 32210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-11 | 5727 Swamp Fox Rd, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-11 | CRUISE, KIMBERLY | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-03-08 | 2317 Blanding Boulevard, STE 102, JACKSONVILLE, FL 32210 | No data |
| LC AMENDMENT | 2010-11-04 | No data | No data |
| REINSTATEMENT | 2010-10-01 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-02 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-03-17 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-17 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-03-08 |
| ANNUAL REPORT | 2015-02-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
