| Entity Name: | CONNECTION BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Jun 2020 (5 years ago) |
| Document Number: | L20000169747 |
| FEI/EIN Number | 85-1534778 |
| Address: | 9800 4TH STREET N., SAINT PETERSBURG, FL, 33702, US |
| Mail Address: | 9800 4TH ST. NORTH, STE # 200, ST. PERTERSBURG, FL, 33702, US |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033736418 | 2020-07-01 | 2022-02-27 | 9800 4TH ST N STE 200, ST PETERSBURG, FL, 337022462, US | 9800 4TH ST N STE 200, ST PETERSBURG, FL, 337022462, US | |||||||||||||||||
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| Phone | +1 727-201-5470 |
| Fax | 7279140172 |
| Phone | +1 727-251-5470 |
Authorized person
| Name | PATRICK DESIR |
| Role | PMHNP-BC |
| Phone | 7272015470 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DESIR PATRICK | Agent | 8896 FOUNDERS CIR, PALMETTO, FL, 34221 |
| Name | Role | Address |
|---|---|---|
| DESIR PATRICK | Managing Member | 9800 4TH STREET N., SAINT PETERSBURG, FL, 33702 |
| Name | Role | Address |
|---|---|---|
| DESIR CARLINE | Authorized Member | 9800 4TH STREET N., SAINT PETERSBURG, FL, 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-04 | 9800 4TH STREET N., STE 200, SAINT PETERSBURG, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-30 | DESIR, PATRICK | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-13 | 9800 4TH STREET N., STE 200, SAINT PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-02-28 |
| ANNUAL REPORT | 2022-01-30 |
| ANNUAL REPORT | 2021-02-13 |
| Florida Limited Liability | 2020-06-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
