| Entity Name: | MOORE HOPE BEHAVIORAL HEALTH CLINIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 04 Mar 2019 (6 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Sep 2021 (3 years ago) |
| Document Number: | L19000062029 |
| FEI/EIN Number | 83-3706500 |
| Address: | 474 STILLWELL BLVD., CRESTVIEW, FL, 32539 |
| Mail Address: | 474 STILLWELL BLVD., CRESTVIEW, FL, 32539 |
| ZIP code: | 32539 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457819278 | 2019-03-11 | 2019-03-11 | 474 STILLWELL BLVD, CRESTVIEW, FL, 325398926, US | 474 STILLWELL BLVD, CRESTVIEW, FL, 325398926, US | |||||||||||||
|
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| Phone | +1 850-830-2671 |
Authorized person
| Name | CYNTHIA M MOORE |
| Role | BCBA |
| Phone | 8508302671 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE CYNTHIA M | Agent | 474 STILLWELL BLVD., CRESTVIEW, FL, 32539 |
| Name | Role | Address |
|---|---|---|
| MOORE CYNTHIA M | Manager | 474 STILLWELL BLVD., CRESTVIEW, FL, 32539 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2021-09-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2021-09-29 | MOORE, CYNTHIA M | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-07 |
| REINSTATEMENT | 2021-09-29 |
| ANNUAL REPORT | 2020-03-06 |
| Florida Limited Liability | 2019-03-04 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
