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DBT SOLUTIONS OF NORTH FLORIDA LLC

Company Details

Entity Name: DBT SOLUTIONS OF NORTH FLORIDA LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 04 Mar 2024 (a year ago)
Document Number: L24000111189
Address: 1409 KINGSLEY AVENUE, BUILDING 8, ORANGE PARK, FL 32073
Mail Address: 1409 KINGSLEY AVENUE, BUILDING 8, ORANGE PARK, FL 32073
ZIP code: 32073
County: Clay
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376380485 2024-07-15 2024-07-15 1409 KINGSLEY AVE STE 8, ORANGE PARK, FL, 320734553, US 1409 KINGSLEY AVE STE 8, ORANGE PARK, FL, 320734553, US

Contacts

Phone +1 904-269-7200
Fax 8666731423

Authorized person

Name JENNIFER ROY FERRER
Role OWNER/THERAPIST
Phone 9042697200

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
CAMPBELL, LISA K Agent 8833 PERIMETER PARK BLVD STE 504, JACKSONVILLE, FL 32216

Manager

Name Role Address
FERRER, JENNIFER Manager 1409 KINGSLEY AVENUE, BUILDING 8, ORANGE PARK, FL 32073

Documents

Name Date
Florida Limited Liability 2024-03-04

Date of last update: 08 Feb 2025

Sources: Florida Department of State