| Entity Name: | MOSAIC FAMILY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 17 Mar 2021 (4 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000125462 |
| Address: | 1015 ATLANTIC BOULEVARD, 235, JACKSONVILLE, FL, 32233, US |
| Mail Address: | 1015 ATLANTIC BOULEVARD, 235, JACKSONVILLE, FL, 32233, US |
| ZIP code: | 32233 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417623778 | 2021-08-17 | 2021-08-17 | 1015 ATLANTIC BLVD # 235, ATLANTIC BEACH, FL, 322333313, US | 13300 ATLANTIC BLVD APT 924, JACKSONVILLE, FL, 322256137, US | |||||||||||||||
|
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| Phone | +1 904-527-5202 |
| Fax | 9045275202 |
Authorized person
| Name | TIMOTHY DAVID BERRY |
| Role | OWNER/THERAPIST |
| Phone | 9045275202 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERRY TIMOTHY D | Agent | 1015 ATLANTIC BLVD, JACKSONVILLE, FL, 32233 |
| Name | Role | Address |
|---|---|---|
| BERRY TIMOTHY D | Authorized Person | 1015 ATLANTIC BLVD STE 235, JACKSONVILLE, FL, 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-03-17 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
