| Entity Name: | ALL FAMILY BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 06 Oct 2022 (2 years ago) |
| Document Number: | L22000431440 |
| FEI/EIN Number | 88-4150848 |
| Address: | 13462 TAFT STREET, BROOKSVILLE, FL 34613 |
| Mail Address: | 13462 TAFT STREET, BROOKSVILLE, FL 34613 |
| ZIP code: | 34613 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548972771 | 2022-12-19 | 2023-09-22 | 13462 TAFT ST, BROOKSVILLE, FL, 346136820, US | 13462 TAFT ST, BROOKSVILLE, FL, 346136820, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 813-997-2099 |
| Fax | 3526008883 |
Authorized person
| Name | BRIAN CLUKIE |
| Role | ADMINISTRATOR |
| Phone | 8139972099 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GORDON, KELLY M | Agent | 13462 TAFT STREET, BROOKSVILLE, FL 34613 |
| Name | Role | Address |
|---|---|---|
| GORDON, KELLY M | Manager | 13462 TAFT STREET, BROOKSVILLE, FL 34613 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-02-21 |
| Florida Limited Liability | 2022-10-06 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
