| Entity Name: | ON-SITE MENTAL HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 12 Apr 2022 (3 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: | L22000174694 |
| Address: | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 33066 |
| Mail Address: | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 33066 |
| ZIP code: | 33066 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205572849 | 2022-05-06 | 2022-07-11 | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 330661734, US | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 330661734, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 954-415-8118 |
Authorized person
| Name | KRYSTAL NICOLE BOULTON |
| Role | OWNER |
| Phone | 9544158118 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BOULTON KRYSTAL N | Agent | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 33066 |
| Name | Role | Address |
|---|---|---|
| BOULTON KRYSTAL N | Manager | 4580 BRIARCLIFF LN, COCONUT CREEK, FL, 33066 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2022-04-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
