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  5. CRAFT BEHAVIORAL HEALTH, LLC

CRAFT BEHAVIORAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: CRAFT BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 26 Oct 2009 (16 years ago)
Last Event: LC AMENDMENT AND NAME CHANGE
Event Date Filed: 05 Jul 2011 (14 years ago)
Document Number: L09000103276
FEI/EIN Number 271196824
Address: 10175 FORTUNE PARKWAY SUITE #1106, JACKSONVILLE, FL, 32256, US
Mail Address: 10175 FORTUNE PARKWAY SUITE #1106, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FAROOQUE MOHAMMAD Managing Member 10175 FORTUNE PARWAY #1106, JACKSONVILLE, FL, 32256
- Agent -

National Provider Identifier

NPI Number:
1639491632
Link:
View on NPI website

Authorized Person:

Name:
DR. MOHAMMAD FAROOQUE
Role:
PRESIDENT
Phone:
9043795928

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-379-5928
Fax:
9043795967

Form 5500 Series

Employer Identification Number (EIN):
271196824
Plan Year:
2024
Number Of Participants:
7
Sponsors Telephone Number:
9044958269
File:
View File
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
9044958269
File:
View File
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:
9044958269
File:
View File

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000121641 CRAFT CLINIC ACTIVE 2024-09-30 2029-12-31 - 10175 FORTUNE PARKWAY, SUITE 1106, JACKSONVILLE, FL, 32256
G22000117377 CRAFT LASER CLINIC ACTIVE 2022-09-17 2027-12-31 - 10175 FORTUNE PARKWAY, UNIT 1106, JACKSONVILLE, FL, 32256
G22000101405 NEUROPSYCHIATRIC ASSOCIATES ACTIVE 2022-08-27 2027-12-31 - 10175 FORTUNE PARKWAY, UNIT 1106, JACKSONVILLE, FL, 32256
G21000087078 CRAFT MEDICAL MARIJUANA CLINIC ACTIVE 2021-06-30 2026-12-31 - 10175 FORTUNE PARKWAY, UNIT 1106, JACKSONVILLE, FL, 32256
G18000011326 CRAFT CLINIC EXPIRED 2018-01-21 2023-12-31 - 10175 FORTUNE PARKWAY, SUITE 1106, JACKSONVILLE, FL, 32256
G11000077795 NEUROPSYCHIATRIC ASSOCIATES, LLC EXPIRED 2011-08-16 2016-12-31 - 10175 FORTUNE PKWY., #1106, JACKSONVILLE, FL, 32256

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2021-02-28 Craft Behavioral Health LLC -
LC AMENDMENT AND NAME CHANGE 2011-07-05 CRAFT BEHAVIORAL HEALTH, LLC -
LC AMENDMENT AND NAME CHANGE 2011-06-03 NEUROPSYCHIATRIC BEHAVIORAL HEALTH, LLC -
CHANGE OF PRINCIPAL ADDRESS 2010-06-07 10175 FORTUNE PARKWAY SUITE #1106, JACKSONVILLE, FL 32256 -
CHANGE OF MAILING ADDRESS 2010-06-07 10175 FORTUNE PARKWAY SUITE #1106, JACKSONVILLE, FL 32256 -
REGISTERED AGENT ADDRESS CHANGED 2010-06-07 10175 FORTUNE PARKWAY SUITE #1106, JACKSONVILLE, FL 32256 -

Documents

Name Date
ANNUAL REPORT 2025-01-23
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-15
ANNUAL REPORT 2022-02-13
ANNUAL REPORT 2021-02-28
ANNUAL REPORT 2020-02-07
ANNUAL REPORT 2019-04-06
ANNUAL REPORT 2018-01-21
ANNUAL REPORT 2017-01-05
ANNUAL REPORT 2016-01-23

USAspending Awards / Financial Assistance

Date:
2021-06-25
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
500000.00
Total Face Value Of Loan:
2000000.00
Date:
2021-05-07
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
36070.00
Total Face Value Of Loan:
36070.00
Date:
2020-05-18
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
43155.00
Total Face Value Of Loan:
43155.00
Date:
2012-02-27
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
489000.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$43,155
Date Approved:
2020-05-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$43,155
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$43,507.33
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $43,155
Jobs Reported:
9
Initial Approval Amount:
$36,070
Date Approved:
2021-05-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$36,070
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$36,329.5
Servicing Lender:
MVB Bank, Inc.
Use of Proceeds:
Payroll: $36,070

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Date of last update: 02 Jul 2025

Sources: Florida Department of State

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