| Entity Name: | DOVE BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 09 Mar 2023 (2 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 03 Oct 2023 (a year ago) |
| Document Number: | L23000109680 |
| FEI/EIN Number | 92-2824942 |
| Address: | 514 N.E. 16th PLACE, UNIT 4, CAPE CORAL, FL 33909 |
| Mail Address: | 514 N.E. 16th PLACE, UNIT 4, CAPE CORAL, FL 33909 |
| ZIP code: | 33909 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457035008 | 2023-06-14 | 2024-04-04 | 514 NE 16TH PL UNIT 4-5, CAPE CORAL, FL, 339092213, US | 514 NE 16TH PL UNIT 4-5, CAPE CORAL, FL, 339092213, US | |||||||||||||||||||
|
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| Phone | +1 239-445-3683 |
| Fax | 2398299121 |
Authorized person
| Name | JOSE CROSSIER |
| Role | APRN |
| Phone | 2394453683 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROSSIER, JOSE | Agent | 10251 TIGRESS LANE, BONITA SPRINGS, FL 34135 |
| Name | Role | Address |
|---|---|---|
| CROSSIER, JOSE | Manager | 10251 TIGRESS LANE, BONITA SPRINGS, FL 34135 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 514 N.E. 16th PLACE, UNIT 4, CAPE CORAL, FL 33909 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 514 N.E. 16th PLACE, UNIT 4, CAPE CORAL, FL 33909 | No data |
| LC AMENDMENT | 2023-10-03 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| LC Amendment | 2023-10-03 |
| Florida Limited Liability | 2023-03-09 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
