| Entity Name: | DLJ CLINICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
DLJ CLINICAL SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Jan 2017 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 05 Nov 2018 (6 years ago) |
| Document Number: | L17000001764 |
| FEI/EIN Number |
81-4991817
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10 Fairway Drive, Deerfield Beach, FL, 33441, US |
| Mail Address: | 10 Fairway Drive, Deerfield Beach, FL, 33441, US |
| ZIP code: | 33441 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457868812 | 2018-01-08 | 2023-01-19 | 10 FAIRWAY DR STE 140V, DEERFIELD BEACH, FL, 334411812, US | 10 FAIRWAY DR STE 140V, DEERFIELD BEACH, FL, 334411812, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-921-7149 |
| Fax | 5615302039 |
Authorized person
| Name | DANYELL JOHNSON |
| Role | CEO |
| Phone | 5619217149 |
Taxonomy
| Taxonomy Code | 104100000X - Social Worker |
| License Number | SW13061 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1285981050 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| JOHNSON DANYELL L | Chief Executive Officer | 10 Fairway Drive, Deerfield Beach, FL, 33441 |
| Johnson Danyell | Agent | 10 Fairway Drive, Deerfield Beach, FL, 33441 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000040959 | KETA | ACTIVE | 2021-03-25 | 2026-12-31 | - | 5114 OKEECHOBEE BLVD, SUITE 112, WEST PALM BEACH, FL, 33417 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-26 | 10 Fairway Drive, Ste 140V, Deerfield Beach, FL 33441 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-26 | 10 Fairway Drive, Ste 140V, Deerfield Beach, FL 33441 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-26 | 10 Fairway Drive, Ste 140V, Deerfield Beach, FL 33441 | - |
| REGISTERED AGENT NAME CHANGED | 2020-06-09 | Johnson, Danyell | - |
| LC STMNT OF RA/RO CHG | 2018-11-05 | - | - |
| LC AMENDMENT | 2018-01-29 | - | - |
| LC STMNT OF RA/RO CHG | 2017-02-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-26 |
| ANNUAL REPORT | 2022-04-20 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-06-09 |
| ANNUAL REPORT | 2019-02-06 |
| CORLCRACHG | 2018-11-05 |
| ANNUAL REPORT | 2018-04-29 |
| LC Amendment | 2018-01-29 |
| CORLCRACHG | 2017-02-27 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8081638500 | 2021-03-08 | 0455 | PPP | 500 S Australian Ave Ste 612, West Palm Bch, FL, 33401-6200 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 02 Mar 2025
Sources: Florida Department of State
