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DERRICK COLLINS LLC - Florida Company Profile

Company Details

Entity Name: DERRICK COLLINS LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

DERRICK COLLINS 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 25 Sep 2017 (8 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 10 Oct 2017 (8 years ago)
Document Number: L17000198533
FEI/EIN Number 82-2900914

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 1615 RIDGEWOOD AVE, HOLLY HILL, FL, 32117, US
Mail Address: 19 STARLING DR, DAYTONA BEACH, FL, 32117, US
ZIP code: 32117
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013682418 2021-08-09 2021-08-09 19 STARLING DR, DAYTONA BEACH, FL, 321171886, US 1615 RIDGEWOOD AVE STE A, HOLLY HILL, FL, 321171749, US

Contacts

Phone +1 386-262-9852

Authorized person

Name DERRICK COLLINS
Role OWNER
Phone 3862629852

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 343900000X - Non-emergency Medical Transport (VAN)
Is Primary No

Key Officers & Management

Name Role Address
COLLINS DERRICK Manager 19 STARLING DR, DAYTONA BEACH, FL, 32117
COLLINS EL DERRICK Agent 19 STARLING DR, DAYTONA BEACH, FL, 32117

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G18000072787 STRESS AND ANXIETY CENTER OF DAYTONA ACTIVE 2018-06-29 2028-12-31 - 19 STARLING DR, DAYTONA BEACH, FL, 32117

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2020-04-13 1615 RIDGEWOOD AVE, Unit LS & LN, HOLLY HILL, FL 32117 -
LC AMENDMENT 2017-10-10 - -

Documents

Name Date
ANNUAL REPORT 2024-03-12
ANNUAL REPORT 2023-03-24
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-03-08
ANNUAL REPORT 2020-04-13
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-04-09
LC Amendment 2017-10-10
Florida Limited Liability 2017-09-25

Date of last update: 01 Apr 2025

Sources: Florida Department of State