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EXCEL COMMUNITY BEHAVIORAL HEALTH SERVICES LLC - Florida Company Profile

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Company Details

Entity Name: EXCEL COMMUNITY BEHAVIORAL HEALTH SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 May 2019 (6 years ago)
Document Number: L19000127205
FEI/EIN Number 84-1831781
Address: 10320 N 56TH ST STE 220, Temple Terrace, FL, 33617, US
Mail Address: 5450 BRUCE B. DOWNS BLVD., 328, WESLEY CHAPEL, FL, 33544, US
ZIP code: 33617
City: Tampa
County: Hillsborough
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
JOHNSON KIMERLYN Managing Member 5450 BRUCE B. DOWNS BLVD., STE. 328, WESLEY CHAPEL, FL, 33544
Johnson Jermaine CEO Agent 5450 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL, 33544
JOHNSON JERMAINE Managing Member 5450 BRUCE B. DOWNS BLVD., STE. 328, WESLEY CHAPEL, FL, 33544

U.S. Small Business Administration Profile

Phone Number:
E-mail Address:
Contact Person:
JERMAINE JOHNSON
Ownership and Self-Certifications:
Black American, Other Minority Owned, Self-Certified Small Disadvantaged Business, Economically Disadvantaged Women-Owned Small Business, Women-Owned Small Business, Woman Owned
User ID:
P3219759

Unique Entity ID

Unique Entity ID:
M7DMELLWS4E7
CAGE Code:
9RZ10
UEI Expiration Date:
2025-12-17

Business Information

Activation Date:
2024-12-19
Initial Registration Date:
2023-04-18

Commercial and government entity program

CAGE number:
9RZ10
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-12-19
CAGE Expiration:
2029-12-19
SAM Expiration:
2025-12-17

Contact Information

POC:
JERMAINE JOHNSON
Corporate URL:
www.excelcbhs.com

National Provider Identifier

NPI Number:
1164080784
Certification Date:
2020-04-22

Authorized Person:

Name:
KIMERLYN JOHNSON
Role:
OPERATIONS ADMINSTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
8133646474

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-01-11 10320 N 56TH ST STE 220, Temple Terrace, FL 33617 -
REGISTERED AGENT NAME CHANGED 2020-06-30 Johnson, Jermaine, CEO -
REGISTERED AGENT ADDRESS CHANGED 2020-06-30 5450 BRUCE B DOWNS BLVD, Suite 328, WESLEY CHAPEL, FL 33544 -

Documents

Name Date
ANNUAL REPORT 2024-05-01
ANNUAL REPORT 2023-05-01
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-07-27
ANNUAL REPORT 2020-06-30
Florida Limited Liability 2019-05-10

USAspending Awards / Financial Assistance

Date:
2021-01-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
69500.00
Total Face Value Of Loan:
69500.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State