| Entity Name: | CROSSROADS THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Oct 2016 (8 years ago) |
| Date of dissolution: | 18 Apr 2020 (5 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 18 Apr 2020 (5 years ago) |
| Document Number: | L16000196064 |
| FEI/EIN Number | 81-4264124 |
| Address: | 333 9TH STREET, ATLANTIC BEACH, FL, 32233, US |
| Mail Address: | 333 9TH STREET, ATLANTIC BEACH, FL, 32233, US |
| ZIP code: | 32233 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285144949 | 2017-10-09 | 2017-10-09 | 333 9TH ST, ATLANTIC BEACH, FL, 322335437, US | 408 4TH ST N, JACKSONVILLE BEACH, FL, 322505620, US | |||||||||||||||||
|
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| Phone | +1 904-853-7780 |
Authorized person
| Name | KELLY SUZANNE GORDON |
| Role | THERAPIST |
| Phone | 9048537780 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 14099 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GORDON KELLY S | Agent | 333 9TH STREET, ATLANTIC BEACH, FL, 32233 |
| Name | Role | Address |
|---|---|---|
| GORDON KELLY S | Manager | 333 9TH STREET, ATLANTIC BEACH, FL, 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-09-01 | 333 9TH STREET, ATLANTIC BEACH, FL 32233 | No data |
| CHANGE OF MAILING ADDRESS | 2025-09-01 | 333 9TH STREET, ATLANTIC BEACH, FL 32233 | No data |
| VOLUNTARY DISSOLUTION | 2020-04-18 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-04-18 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-03-19 |
| ANNUAL REPORT | 2017-03-13 |
| Florida Limited Liability | 2016-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
