| Entity Name: | NORTH FLORIDA MENTAL HEALTH AND WELLNESS CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 23 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | L18000020467 |
| FEI/EIN Number | 82-4164244 |
| Address: | 653 SW Choctaw Ave, Fort White, FL, 32038, US |
| Mail Address: | 653 SW Choctaw Ave, Fort White, FL, 32038, US |
| ZIP code: | 32038 |
| County: | Columbia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912493917 | 2018-07-03 | 2020-01-03 | 653 SW CHOCTAW AVE, FORT WHITE, FL, 32038, US | 232 SW BEAUREGARD GLN, LAKE CITY, FL, 320245013, US | |||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 386-623-3000 |
Authorized person
| Name | JESSICA LAND |
| Role | CEO |
| Phone | 3866233000 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 101YP1600X - Pastoral Counselor |
| Is Primary | No |
| Taxonomy Code | 106S00000X - Behavior Technician |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 175F00000X - Naturopath |
| Is Primary | No |
| Taxonomy Code | 225C00000X - Rehabilitation Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| LAND JESSICA | Authorized Member | 653 SW Choctaw Ave, Fort White, FL, 32038 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-18 | 476 RIVERSIDE AVE., JACKSONVILLE, FL 32202 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-10-20 | 653 SW Choctaw Ave, Fort White, FL 32038 | No data |
| REINSTATEMENT | 2020-10-20 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-10-20 | 653 SW Choctaw Ave, Fort White, FL 32038 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-10-20 | UNITED STATES CORPORATION AGENTS, INC. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| LC AMENDMENT | 2018-05-22 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-01-25 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-02-09 |
| REINSTATEMENT | 2020-10-20 |
| ANNUAL REPORT | 2019-01-28 |
| LC Amendment | 2018-05-22 |
| Florida Limited Liability | 2018-01-23 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
