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PSI BEHAVIORAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: PSI BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jul 2013 (12 years ago)
Document Number: L13000102409
FEI/EIN Number 46-3202761
Address: 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL, 32218, US
Mail Address: 3450 DUNN AVE., SUITE 201, JACKSONVILLE, FL, 32218, US
ZIP code: 32218
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

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
- Agent -

National Provider Identifier

NPI Number:
1063847465

Authorized Person:

Name:
MR. RICKY WALLACE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

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

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
11900.00
Total Face Value Of Loan:
11900.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$11,900
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$11,964.46
Servicing Lender:
RadiFi Federal Credit Union
Use of Proceeds:
Payroll: $11,900

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Date of last update: 03 Jul 2025

Sources: Florida Department of State