Entity Name: | STEP BY STEP BEHAVIORAL HEALTH SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 16 Feb 2016 (9 years ago) |
Document Number: | L16000032897 |
FEI/EIN Number | 81-1467142 |
Address: | 1760 Shadowood Lane, Suite #406, Jacksonville, FL, 32207, US |
Mail Address: | P.O. Box 26142, Jacksonville, FL, 32226, US |
ZIP code: | 32207 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1578231437 | 2021-09-03 | 2021-09-03 | PO BOX 26142, JACKSONVILLE, FL, 322266142, US | 1760 SHADOWOOD LN STE 408, JACKSONVILLE, FL, 322072182, US | |||||||||||||||||||||||
|
Phone | +1 904-408-9288 |
Fax | 8883767135 |
Phone | +1 888-763-7837 |
Authorized person
Name | DESIREE CORLEY JONES |
Role | CHIEF EXECUTIVE OFFICER |
Phone | 8887637837 |
Taxonomy
Taxonomy Code | 251B00000X - Case Management Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 102136300 |
State | FL |
Name | Role | Address |
---|---|---|
Jones Desiree C | Agent | 1760 Shadwoood Lane, Jacksonville, FL, 32207 |
Name | Role | Address |
---|---|---|
Jones Desiree C | Chief Executive Officer | P.O. Box 26142, Jacksonville, FL, 32226 |
Name | Role | Address |
---|---|---|
Williams Reginald L | Chief Operating Officer | 901 NW 8th Ave., Gainesville, FL, 32601 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2024-04-25 | Jones, Desiree C | No data |
CHANGE OF PRINCIPAL ADDRESS | 2023-01-21 | 1760 Shadowood Lane, Suite #406, Jacksonville, FL 32207 | No data |
CHANGE OF MAILING ADDRESS | 2022-01-10 | 1760 Shadowood Lane, Suite #406, Jacksonville, FL 32207 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-01-10 | 1760 Shadwoood Lane, Suite 406, Jacksonville, FL 32207 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-25 |
ANNUAL REPORT | 2023-01-21 |
ANNUAL REPORT | 2022-01-10 |
ANNUAL REPORT | 2021-02-12 |
ANNUAL REPORT | 2020-06-20 |
ANNUAL REPORT | 2019-06-14 |
ANNUAL REPORT | 2018-04-18 |
ANNUAL REPORT | 2017-04-30 |
Florida Limited Liability | 2016-02-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State