| Entity Name: | BROOKS BEHAVIORAL LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 09 Sep 2019 (5 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L19000226850 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 1135 NW 23rd avenue Ste D, Gainesville, Fl, 32609, UN |
| Mail Address: | 520 SW ATLAS DRIVE, FORT WHITE, FL, 32038, UN |
| ZIP code: | 32609 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114695210 | 2021-09-02 | 2022-11-14 | 520 SW ATLAS DR, FORT WHITE, FL, 320382430, US | 1135 NW 23RD AVE, GAINESVILLE, FL, 326095415, US | |||||||||||||||
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| Phone | +1 386-454-0660 |
| Fax | 3522403919 |
Authorized person
| Name | NATALIE MOORE |
| Role | CLINICAL DIRECTOR |
| Phone | 3864540660 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROOKS AMANDA | Agent | 520 SW ATLAS DRIVE, FORT WHITE, FL, 32038 |
| Name | Role | Address |
|---|---|---|
| BROOKS AMANDA CEO | Chief Executive Officer | 520 SW ATLAS DRIVE, FORT WHITE, 32038 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-16 | 1135 NW 23rd avenue Ste D, Gainesville, Florida 32609 UN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-05-30 |
| Florida Limited Liability | 2019-09-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
