| Entity Name: | MARLYN BEHAVIORAL HEALTH SYSTEMS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 10 Jan 2006 (19 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 26 Jan 2017 (8 years ago) |
| Document Number: | N06000000304 |
| FEI/EIN Number | 204426753 |
| Address: | 4063 Salisbury Road, Suite 100, JACKSONVILLE, FL, 32246, US |
| Mail Address: | 4063 Salisbury Road, Suite 100, JACKSONVILLE, FL, 32246, US |
| ZIP code: | 32246 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922599083 | 2018-05-24 | 2018-05-24 | 11265 ALUMNI WAY, JACKSONVILLE, FL, 322466685, US | 11265 ALUMNI WAY, JACKSONVILLE, FL, 322466685, US | |||||||||||||||
|
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| Phone | +1 904-398-2020 |
| Fax | 9047242172 |
Authorized person
| Name | AUDRIS LEWIS |
| Role | HR MANAGER |
| Phone | 9043982020 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Ulerie Mark | Agent | 4063 Salisbury Road, JACKSONVILLE, FL, 32246 |
| Name | Role | Address |
|---|---|---|
| ULERIE MARK | Director | 13097 HARBORTON DRIVE, JACKSONVILLE, FL, 32244 |
| ULERIE JEROLYNN | Director | 13097 HARBORTON DRIVE, JACKSONVILLE, FL, 32244 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000063755 | QUALITY RESOURCE CENTER | ACTIVE | 2015-06-19 | 2026-12-31 | No data | 11265 ALUMNI WAY, JACKSONVILLE, FL, 32246 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-30 | 4063 Salisbury Road, Suite 100, JACKSONVILLE, FL 32246 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-30 | 4063 Salisbury Road, Suite 100, JACKSONVILLE, FL 32246 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-30 | 4063 Salisbury Road, Suite 100, JACKSONVILLE, FL 32246 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-04-29 | Ulerie, Mark | No data |
| AMENDMENT | 2017-01-26 | No data | No data |
| AMENDMENT | 2017-01-12 | No data | No data |
| REINSTATEMENT | 2013-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| NAME CHANGE AMENDMENT | 2006-03-08 | MARLYN BEHAVIORAL HEALTH SYSTEMS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-16 |
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-27 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-12 |
| Amendment | 2017-01-26 |
| ANNUAL REPORT | 2017-01-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
