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CROSSROADS BEHAVIORAL HEALTH SERVICES, LLC

Company Details

Entity Name: CROSSROADS BEHAVIORAL HEALTH SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 29 Sep 2015 (9 years ago)
Date of dissolution: 23 Sep 2016 (8 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (8 years ago)
Document Number: L15000165592
Address: 6965 RECREATION TRAIL SOUTH, JACKSONVILLE, FL, 32244
Mail Address: 207 WILLIAMS STREET, PALMETTO, GA, 30268
ZIP code: 32244
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194273839 2016-09-12 2016-09-12 3107 SPRING GLEN RD, JACKSONVILLE, FL, 322075916, US 3107 SPRING GLEN RD, JACKSONVILLE, FL, 322075916, US

Contacts

Phone +1 904-302-9929

Authorized person

Name VALERIE WRIGHT
Role OWNER
Phone 9043029929

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
License Number 1647519388801
State FL
Is Primary Yes

Agent

Name Role Address
MITCHELL MARVIN Agent 6965 RECREATION TRAIL SOUTH, JACKSONVILLE, FL, 32244

Manager

Name Role Address
WRIGHT DARAL J Manager 207 WILLIAMS STREET, PALMETTO, GA, 30268
MITCHELL MARVIN Manager 6965 RECREATION TRAIL SOUTH, JACKSONVILLE, GA, 32244

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
Florida Limited Liability 2015-09-29

Date of last update: 01 Feb 2025

Sources: Florida Department of State