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IVY BEHAVIORAL GROUP, INC. - Florida Company Profile

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Company Details

Entity Name: IVY BEHAVIORAL GROUP, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 22 Jan 2018 (8 years ago)
Document Number: P18000007461
FEI/EIN Number 82-4145364
Mail Address: 2336 SE OCEAN BLVD, STUART, FL, 34996, US
Address: 1437 N. Denver Ave. #157, Loveland, CO, 80538, US
Place of Formation: FLORIDA

Links between entities

Type:
Headquarter of
Company Number:
20201687501
State:
COLORADO

Key Officers & Management

Name Role Address
IVY TAYLOR N Chief Financial Officer 2154 NE Chestnut Ct, Jensen Beach, FL, 34957
IVY EMILY G Chief Executive Officer 2154 NE Chestnut Ct., Jensen Beach, FL, 34957
WAUTERS JAMES J Agent 5422 NW CROMEY STREET, PORT SAINT LUCIE, FL, 34986

National Provider Identifier

NPI Number:
1851890628
Certification Date:
2021-05-06

Authorized Person:

Name:
EMILY GOSSER IVY
Role:
CEO/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fax:
7722139558

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2021-01-28 1437 N. Denver Ave. #157, Loveland, CO 80538 -
CHANGE OF PRINCIPAL ADDRESS 2020-06-10 1437 N. Denver Ave. #157, Loveland, CO 80538 -

Documents

Name Date
ANNUAL REPORT 2024-02-16
ANNUAL REPORT 2023-04-05
ANNUAL REPORT 2022-02-08
ANNUAL REPORT 2021-03-12
ANNUAL REPORT 2020-06-10
ANNUAL REPORT 2019-09-09
Domestic Profit 2018-01-22

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Date of last update: 01 Aug 2025

Sources: Florida Department of State