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A SAFE PLACE BEHAVIORAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: A SAFE PLACE BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Mar 2022 (3 years ago)
Document Number: L22000122199
FEI/EIN Number 88-1435291
Address: 10151 DEERWOOD PARK BOULEVARD, BLDG 200, SUITE 250, JACKSONVILLE, FL, 32256, US
Mail Address: 10151 DEERWOOD PARK BOULEVARD, BLDG 200, SUITE 250, JACKSONVILLE, FL, 32256, US
ZIP code: 32256
City: Jacksonville
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
ANDRE KIMBERLY Agent 10151 DEERWOOD PARK BOULEVARD, BLDG 200, JACKSONVILLE, FL, 32256
ANDRE KIMBERLY Manager 10151 DEERWOOD PARK BOULEVARD, SUITE 250, JACKSONVILLE, FL, 32256

National Provider Identifier

NPI Number:
1689318321
Certification Date:
2022-04-27

Authorized Person:

Name:
KIMBERLY ANDRE
Role:
MANAGER/CLINICAL SOCIAL WORKER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-08
Florida Limited Liability 2022-03-10

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Date of last update: 03 Jul 2025

Sources: Florida Department of State