| Entity Name: | BEADED STAR RECOVERY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 31 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: | L15000131407 |
| FEI/EIN Number | 45-3517356 |
| Address: | 2380 SOUTH 3RD STREET, SUITE 1, JACKSONVILLE BEACH, FL 32250 |
| Mail Address: | 2380 SOUTH 3RD STREET, SUITE 1, JACKSONVILLE BEACH, FL 32250 |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053681205 | 2012-01-05 | 2015-08-07 | 2380 3RD ST S, SUITE 1, JACKSONVILLE BEACH, FL, 322504023, US | 2380 3RD ST S, SUITE 1, JACKSONVILLE BEACH, FL, 322504023, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 904-241-3113 |
| Fax | 9045139268 |
Authorized person
| Name | MS. MARILYN K DAHL |
| Role | OWNER |
| Phone | 9042413113 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH8334 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 133V00000X - Registered Dietitian |
| License Number | ND546 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | ND546 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAHL, MARILYN K | Agent | 4112 DUVAL DRIVE, JACKSONVILLE, FL 32250 |
| Name | Role | Address |
|---|---|---|
| DAHL, MARILYN K | Manager | 4112 DUVAL DRIVE, JACKSONVILLE BEACH, FL 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-11 |
| ANNUAL REPORT | 2016-04-05 |
| Florida Limited Liability | 2015-07-31 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
