| Entity Name: | DIVERSIFIED BEHAVIORAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 16 Apr 2008 (17 years ago) |
| Date of dissolution: | 25 Sep 2015 (9 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2015 (9 years ago) |
| Document Number: | P08000038722 |
| FEI/EIN Number | 421728394 |
| Address: | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Mail Address: | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| ZIP code: | 32607 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376855155 | 2010-07-08 | 2010-07-08 | 2404 MONTE CARLO TRL, ORLANDO, FL, 328053527, US | 2404 MONTE CARLO TRL, ORLANDO, FL, 328053527, US | |||||||||||||||||||||||||
|
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| Phone | +1 352-219-2276 |
Authorized person
| Name | MR. ANTHONY TU JUAN ADAMS |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 3522192276 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| License Number | MH4900 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH4900 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ADAMS ANTHONY L | Agent | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| ADAMS ANTHONY L | Chief Executive Officer | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| ADAMS ANTHONY L | Director | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Name | Role | Address |
|---|---|---|
| ADAMS ANTHONY L | President | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G10000025465 | DIVERSIFIED BEHAVIORAL HEALTH SERVICES, INC. | EXPIRED | 2010-03-17 | 2015-12-31 | No data | 2404 MONTE CARLO TRAIL, ORLANDO, FL, 32805 |
| G08226900058 | DIVERSIFIED SUPPORT SERVICES INC. | EXPIRED | 2008-08-11 | 2013-12-31 | No data | 1811 SW 67TH TERRACE, GAINESVILLE, FL, 32607 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-22 | ADAMS, ANTHONY LMHC | No data |
| CANCEL ADM DISS/REV | 2009-10-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-30 |
| ANNUAL REPORT | 2013-04-22 |
| ANNUAL REPORT | 2012-04-16 |
| ANNUAL REPORT | 2011-04-12 |
| ANNUAL REPORT | 2010-02-17 |
| REINSTATEMENT | 2009-10-09 |
| Domestic Profit | 2008-04-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
