| Entity Name: | GRACE BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Jan 2022 (3 years ago) |
| Document Number: | L22000057348 |
| FEI/EIN Number | 88-0659698 |
| Address: | 1111 NE 25th Ave., Ocala, FL, 34470, US |
| Mail Address: | 1111 NE 25th Ave., Ocala, FL, 34470, US |
| ZIP code: | 34470 |
| County: | Marion |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760194419 | 2022-12-14 | 2022-12-14 | 4275 NW 1ST COURT RD, OCALA, FL, 344758762, US | 1111 NE 25TH AVE STE 104, OCALA, FL, 344705665, US | |||||||||||||||
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| Phone | +1 352-777-9235 |
| Phone | +1 352-541-5500 |
Authorized person
| Name | ZENIA HARRIS |
| Role | OWNER/ADMINISTRATOR |
| Phone | 3525415500 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HARRIS ZENIA L | Agent | 1111 NE 25th Ave., Ocala, FL, 34470 |
| Name | Role | Address |
|---|---|---|
| Harris Zenia L | Manager | 4275 NW 1st Ct. Road, OCALA, FL, 344758762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 1111 NE 25th Ave., Suite 104, Ocala, FL 34470 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 1111 NE 25th Ave., Suite 104, Ocala, FL 34470 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-30 | 1111 NE 25th Ave., Suite 104, Ocala, FL 34470 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| Florida Limited Liability | 2022-01-25 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
