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PSI BEHAVIORAL HEALTH, LLC - Florida Company Profile

Company Details

Entity Name: PSI BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PSI BEHAVIORAL HEALTH, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 19 Jul 2013 (12 years ago)
Document Number: L13000102409
FEI/EIN Number 46-3202761

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL, 32218, US
Mail Address: 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL, 32218, US
ZIP code: 32218
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063847465 2013-09-05 2013-09-05 3890 DUNN AVE, SUITE 1104, JACKSONVILLE, FL, 322186428, US 3890 DUNN AVE, SUITE 1104, JACKSONVILLE, FL, 322186428, US

Contacts

Phone +1 904-723-6049

Authorized person

Name MR. RICKY WALLACE
Role CEO
Phone 9047236049

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number PENDING
State FL

Key Officers & Management

Name Role Address
WALLACE RICKY B Managing Member 3450 DUNN AVE. SUITE 201, JACKSONVILLE, FL, 32218
Wallace Janice Auth 3450 DUNN AVE., JACKSONVILLE, FL, 32218
REGISTERED AGENTS INC Agent -

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-17 Registered Agents Inc. -
REGISTERED AGENT ADDRESS CHANGED 2024-02-17 7901 4th St N, Suite 300, St. Petersburg, FL 33702 -
CHANGE OF PRINCIPAL ADDRESS 2019-04-30 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL 32218 -
CHANGE OF MAILING ADDRESS 2019-04-30 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL 32218 -

Documents

Name Date
ANNUAL REPORT 2024-02-17
ANNUAL REPORT 2023-04-04
ANNUAL REPORT 2022-04-30
ANNUAL REPORT 2021-09-23
ANNUAL REPORT 2020-07-04
ANNUAL REPORT 2019-04-30
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-04-30
ANNUAL REPORT 2016-04-21
ANNUAL REPORT 2015-04-22

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
2868707301 2020-04-29 0491 PPP 3450 Dunn Ave Ste 201, JACKSONVILLE, FL, 32218
Loan Status Date 2020-12-12
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 11900
Loan Approval Amount (current) 11900
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94414
Servicing Lender Name RadiFi Federal Credit Union
Servicing Lender Address 562 Park St, Ste 101, JACKSONVILLE, FL, 32204-2962
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address JACKSONVILLE, DUVAL, FL, 32218-0001
Project Congressional District FL-04
Number of Employees 5
NAICS code 621112
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 94414
Originating Lender Name RadiFi Federal Credit Union
Originating Lender Address JACKSONVILLE, FL
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 11964.46
Forgiveness Paid Date 2020-11-12

Date of last update: 03 Mar 2025

Sources: Florida Department of State