| Entity Name: | AMD COUNSELING & CONSULTING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Oct 2015 (9 years ago) |
| Document Number: | L15000174040 |
| FEI/EIN Number | 47-5314200 |
| Address: | 1912 Hamilton St. Ste 108, Jacksonville, FL 32210 |
| Mail Address: | 4530 Saint Johns Ave, Suite 15, Unit 214, Jacksonville, FL 32210 |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346996477 | 2022-02-28 | 2022-06-20 | 4530 SAINT JOHNS AVE STE 15-214, JACKSONVILLE, FL, 322101852, US | 1912 HAMILTON ST STE 108, JACKSONVILLE, FL, 322102077, US | |||||||||||||||||||||||||||||
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| Phone | +1 904-419-9864 |
| Fax | 9042120929 |
Authorized person
| Name | MS. ALLISON DEMPSEY |
| Role | CEO |
| Phone | 9044199864 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 018152000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| DEMPSEY, ALLISON | Agent | 4530 Saint Johns Ave, Suite 15, Unit 214, Jacksonville, FL 32210 |
| Name | Role | Address |
|---|---|---|
| DEMPSEY, ALLISON | Managing Member | 4530 Saint Johns Ave, Suite 15, Unit 214 Jacksonville, FL 32210 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000066149 | TAPESTRY BEHAVIORAL HEALTH | ACTIVE | 2018-06-07 | 2028-12-31 | No data | 4530 SAINT JOHNS AVE, SUITE 15-214, JACKSONVILLE, FL, 32210--185 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-14 | 1912 Hamilton St. Ste 108, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2022-03-10 | 1912 Hamilton St. Ste 108, Jacksonville, FL 32210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-10 | 4530 Saint Johns Ave, Suite 15, Unit 214, Jacksonville, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-10 |
| ANNUAL REPORT | 2021-01-22 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-04-15 |
| Florida Limited Liability | 2015-10-13 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
