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EVERGREEN BEHAVIORAL HEALTH INC. - Florida Company Profile

Company Details

Entity Name: EVERGREEN BEHAVIORAL HEALTH INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 03 Nov 2023 (a year ago)
Document Number: N23000013301
FEI/EIN Number 93-4303251

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 14002 CR 49, LIVE OAK, FL, 32060
Mail Address: 14002 CR 49, LIVE OAK, FL, 32060
ZIP code: 32060
County: Suwannee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932978277 2023-12-28 2023-12-28 1206 SW MAIN BLVD STE 103, LAKE CITY, FL, 320256603, US 1206 SW MAIN BLVD STE 103, LAKE CITY, FL, 320256603, US

Contacts

Phone +1 386-487-9979
Fax 3864879979

Authorized person

Name JOSHUA MESSER
Role CEO
Phone 3864879979

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary Yes

Key Officers & Management

Name Role Address
DOIRON STEPHEN Director 1383 ODEN COURT, MIDDLEBURG, FL, 32068
STAWDER KELLI Director 668 SW CHESTERFIELD CIRCLE, LAKE CITY, FL, 32024
KIRBY MILES Secretary 14002 CR 49, LIVE OAK, FL, 32060
LLOYD BRIAN Director 14002 CR 49, LIVE OAK, FL, 32060
MESSER JOSHUA Chief Executive Officer 14002 CR 49, LIVE OAK, FL, 32060
ADLER & ASSOCIATES INTERNATIONAL Agent 25472 89TH DRIVE, O'BRIEN, FL, 32071
ADLER & ASSOCIATES INTERNATIONAL Treasurer 25472 89TH DRIVE, O'BRIEN, FL, 32071

Documents

Name Date
ANNUAL REPORT 2024-02-09
Domestic Non-Profit 2023-11-03

Date of last update: 01 Apr 2025

Sources: Florida Department of State