| Entity Name: | NAUTILUS BEHAVIORAL HEALTH, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Feb 2016 (9 years ago) |
| Last Event: | LC AMENDED/RESTATED ARTICLE/NAME CHANGE |
| Event Date Filed: | 31 May 2016 (9 years ago) |
| Document Number: | L16000021566 |
| FEI/EIN Number | 811446739 |
| Address: | 12412 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 12412 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134577901 | 2016-06-01 | 2016-07-21 | 12412 SAN JOSE BLVD, SUITE 203, JACKSONVILLE, FL, 322238621, US | 12412 SAN JOSE BLVD, SUITE 203, JACKSONVILLE, FL, 322238621, US | |||||||||||||||||||
|
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| Phone | +1 904-432-3321 |
| Fax | 9044323324 |
Authorized person
| Name | DR. SARAH DEW-REEVES |
| Role | CO-OWNER/LICENSED CLINICAL PSYCHOLO |
| Phone | 9044323321 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY9064 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEW-REEVES SARAH E | Agent | 12412 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| DEW-REEVES SARAH E | Manager | 12412 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223 |
| BAILEY LISA D | Manager | 12412 SAN JOSE BOULEVARD, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDED/RESTATED ARTICLE/NAME CHANGE | 2016-05-31 | NAUTILUS BEHAVIORAL HEALTH, PLLC | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-05-31 | 12412 SAN JOSE BOULEVARD, SUITE 203, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2016-05-31 | 12412 SAN JOSE BOULEVARD, SUITE 203, JACKSONVILLE, FL 32223 | No data |
| REGISTERED AGENT NAME CHANGED | 2016-05-31 | DEW-REEVES, SARAH E | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-22 |
| ANNUAL REPORT | 2023-05-01 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-07-02 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-02-03 |
| LC Amended/Restated Article/NC | 2016-05-31 |
| Florida Limited Liability | 2016-02-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
