| Entity Name: | NORTH FLORIDA MENTAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 15 Jul 2015 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | L15000121186 |
| FEI/EIN Number | 47-4619971 |
| Address: | 1931 Welby Way, TALLAHASSEE, FL, 32308, US |
| Mail Address: | 1331 AIRPORT DRIVE, G17, TALLAHASSEE, FL, 32304, US |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750766176 | 2015-07-27 | 2016-09-14 | 1331 AIRPORT DRIVE, G17, TALLAHASSEE, FL, 323044775, US | 1931 WELBY WAY, STE 3, TALLAHASSEE, FL, 32308, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 850-219-0973 |
| Fax | 8505740513 |
Authorized person
| Name | HELEN ELIZABETH-MARIE STOREY |
| Role | CEO |
| Phone | 8502190973 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | MH11779 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH11779 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH11779 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | MH11779 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH11779 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| STOREY HELEN E | Agent | 1931 Welby Way, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| STOREY HELEN E | Chief Executive Officer | 1931 Welby Way, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REINSTATEMENT | 2016-10-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-05 | 1931 Welby Way, STE 3, TALLAHASSEE, FL 32308 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-10-05 | STOREY, HELEN E | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-10-05 | 1931 Welby Way, STE 3, TALLAHASSEE, FL 32308 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-03-30 |
| REINSTATEMENT | 2016-10-05 |
| Florida Limited Liability | 2015-07-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
