Entity Name: | NORTH FLORIDA LEARNING & BEHAVIORAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 03 Apr 2017 (8 years ago) |
Document Number: | L17000074139 |
FEI/EIN Number | 82-1079333 |
Address: | 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256, US |
Mail Address: | 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256, US |
ZIP code: | 32256 |
County: | Duval |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1598295701 | 2017-06-20 | 2022-07-21 | 8825 PERIMETER PARK BLVD STE 302, JACKSONVILLE, FL, 322161112, US | 8825 PERIMETER PARK BLVD STE 302, JACKSONVILLE, FL, 322161112, US | |||||||||||||||||||
|
Phone | +1 904-250-0088 |
Fax | 8662984143 |
Authorized person
Name | DR. SHARON RENEE WINNER |
Role | PSYCHOLOGIST, DIRECTOR |
Phone | 9042500088 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
License Number | PY8075 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
WINNER SHARON RPSY.D. | Agent | 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256 |
Name | Role | Address |
---|---|---|
Winner Sharon RPsy.D. | Director | 10175 Fortune Pkwy, JACKSONVILLE, FL, 32256 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-03-26 | 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 | No data |
CHANGE OF MAILING ADDRESS | 2024-03-26 | 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-03-26 | 10175 Fortune Pkwy, Unit 902, JACKSONVILLE, FL 32256 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-26 |
ANNUAL REPORT | 2023-03-02 |
ANNUAL REPORT | 2022-03-03 |
ANNUAL REPORT | 2021-03-20 |
ANNUAL REPORT | 2020-03-17 |
ANNUAL REPORT | 2019-04-04 |
ANNUAL REPORT | 2018-03-05 |
Florida Limited Liability | 2017-04-03 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State