| Entity Name: | KMG BEHAVIORAL HEALTH SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Dec 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 24 Nov 2024 (3 months ago) |
| Document Number: | L22000529812 |
| FEI/EIN Number | 92-1473545 |
| Mail Address: | 3081 Salzedo St, Coral Gables, FL, 33134, US |
| Address: | 3081 Salzedo St, Suite 202-D3, Coral Gables, FL, 33134, US |
| ZIP code: | 33134 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770297160 | 2023-01-10 | 2023-10-26 | 1601-1 N MAIN ST UNIT 3159, JACKSONVILLE, FL, 322067707, US | 15165 MICHELANGELO BLVD APT 207, DELRAY BEACH, FL, 334466026, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-927-9442 |
Authorized person
| Name | MS. TRUDI JUSTICE |
| Role | PRESIDENT |
| Phone | 5619279442 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Justice Trudi | Agent | 3081 Salzedo St, Coral Gables, FL, 33134 |
| Name | Role | Address |
|---|---|---|
| JUSTICE TRUDI | Authorized Member | 3081 Salzedo St, Coral Gables, FL, 33134 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000148176 | FEEL GREAT CLINICS | ACTIVE | 2024-12-06 | 2029-12-31 | No data | 3081 SALZEDO ST, SUITE 202-D3, CORAL GABLES, FL, 33134 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-24 | 3081 Salzedo St, Suite 202-D3, Coral Gables, FL 33134 | No data |
| CHANGE OF MAILING ADDRESS | 2024-11-24 | 3081 Salzedo St, Suite 202-D3, Coral Gables, FL 33134 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-24 | Justice, Trudi | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-11-24 | 3081 Salzedo St, Suite 202-D3, Coral Gables, FL 33134 | No data |
| REINSTATEMENT | 2024-11-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-24 |
| Florida Limited Liability | 2022-12-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
