| Entity Name: | EMBRACING BEHAVIORAL HEALTH L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EMBRACING BEHAVIORAL HEALTH L.L.C. is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 05 Jul 2022 (3 years ago) |
| Document Number: | L22000300277 |
| FEI/EIN Number |
88-3145055
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Mail Address: | 12724 Gran Bay Pkwy W, Jacksonville, FL, 32258, US |
| Address: | 12724 GRAN BAY PARKWAY WEST, JACKSONVILLE, fl, 32258, UN |
| ZIP code: | 32258 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184357923 | 2022-07-08 | 2023-05-12 | 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL, 322589486, US | 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL, 322589486, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 904-710-8636 |
| Phone | +1 904-465-2407 |
Authorized person
| Name | CAROLYN ANN MCCLINTON |
| Role | MANAGER/PMHNP |
| Phone | 9047108636 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 013605400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MCCLINTON CAROLYN A | Chief Executive Officer | 12724 GRAN BAY PARKWAY WEST, JACKSONVILLE, 32258 |
| MCCLINTON WALTER MJR | Manager | 788 CANDLEBARK, JACKSONVILLE, FL, 32225 |
| McClinton Walter MJr. | Agent | 12724 Gran Bay Pkwy W, Jacksonville, FL, 32258 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-03-05 | 12724 GRAN BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, fl 32258 UN | - |
| REGISTERED AGENT NAME CHANGED | 2024-03-05 | McClinton , Walter M., Jr. | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-05 | 12724 Gran Bay Pkwy W, STE 410, Jacksonville, FL 32258 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-07-19 | 12724 GRAN BAY PARKWAY WEST, SUITE 410, JACKSONVILLE, fl 32258 UN | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-03-07 |
| Florida Limited Liability | 2022-07-05 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
