| Entity Name: | GRACE BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Dec 2017 (7 years ago) |
| Document Number: | L17000249789 |
| FEI/EIN Number | 82-3617880 |
| Address: | 20 PRICE LANE, PALM COAST, FL 32164 |
| Mail Address: | 20 PRICE LANE, PALM COAST, FL 32164 |
| ZIP code: | 32164 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215417480 | 2018-08-17 | 2018-08-17 | 20 PRICE LN, PALM COAST, FL, 321647417, US | 20 PRICE LN, PALM COAST, FL, 321647417, US | |||||||||||||||||
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| Phone | +1 386-986-9978 |
Authorized person
| Name | MRS. TERRY TURNER JAMES |
| Role | OWNER |
| Phone | 3869869978 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH15910 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIDSON, DAVID J | Agent | 151 NW 1st Avenue, DELRAY BEACH, FL 33444 |
| Name | Role | Address |
|---|---|---|
| JAMES, TERRY T | Manager | 20 PRICE LANE, PALM COAST, FL 32164 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-27 | 151 NW 1st Avenue, DELRAY BEACH, FL 33444 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-17 |
| ANNUAL REPORT | 2023-01-03 |
| AMENDED ANNUAL REPORT | 2022-04-27 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-10 |
| ANNUAL REPORT | 2019-01-19 |
| ANNUAL REPORT | 2018-01-30 |
| Florida Limited Liability | 2017-12-06 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
