| Entity Name: | NEW LEAF BEHAVIORAL SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 02 May 2012 (13 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: | P12000041389 |
| FEI/EIN Number | 45-5190188 |
| Address: | 4477 Barbados Loop, Clermont, FL, 34711, US |
| Mail Address: | 4477 Barbados Loop, Clermont, FL, 34711, US |
| ZIP code: | 34711 |
| County: | Lake |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326307679 | 2012-05-07 | 2012-05-07 | 5137 RIVER EDGE LN, LEESBURG, FL, 347489191, US | 5137 RIVER EDGE LN, LEESBURG, FL, 347489191, US | |||||||||||||||||||
|
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| Phone | +1 478-954-4278 |
| Fax | 3213967662 |
Authorized person
| Name | JORDAN L HOLT |
| Role | PRESIDENT |
| Phone | 4789544278 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | P12000041389 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HOLT JORDAN L | Agent | 4477 Barbados Loop, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| HOLT JORDAN L | President | 4477 Barbados Loop, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| HOLT ALI M | Vice President | 4477 Barbados Loop, Clermont, FL, 34711 |
| Name | Role | Address |
|---|---|---|
| GREENE BETTY | Treasurer | 4900 PETRA COURT, WINTER SPRINGS, FL, 32708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-12 | 4477 Barbados Loop, Clermont, FL 34711 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-01-29 | 4477 Barbados Loop, Clermont, FL 34711 | No data |
| CHANGE OF MAILING ADDRESS | 2013-01-29 | 4477 Barbados Loop, Clermont, FL 34711 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2014-04-12 |
| ANNUAL REPORT | 2013-01-29 |
| Domestic Profit | 2012-05-02 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
