| Entity Name: | JACKSON BEHAVIORAL & CASE MANAGEMENT INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Jul 2019 (6 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 29 Jun 2021 (4 years ago) |
| Document Number: | P19000061351 |
| FEI/EIN Number | 84-4308436 |
| Address: | 9140 SW 156 CT, MIAMI, FL, 33196, US |
| Mail Address: | 9140 SW 156 CT, MIAMI, FL, 33196, US |
| ZIP code: | 33196 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558960617 | 2020-10-20 | 2020-10-21 | 9140 SW 156TH CT, MIAMI, FL, 331961154, US | 5877 SW 123RD AVE, MIAMI, FL, 331831525, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-496-1667 |
Authorized person
| Name | MAURICIO LOPEZ |
| Role | MANAGER |
| Phone | 9544961667 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAURICIO | Agent | 9140 SW 156 CT, MIAMI, FL, 33196 |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAURICIO | President | 9140 SW 156 CT, MIAMI, FL, 33196 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-13 | 9140 SW 156 CT, MIAMI, FL 33196 | No data |
| AMENDMENT | 2021-06-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-05-01 | 9140 SW 156 CT, MIAMI, FL 33196 | No data |
| CHANGE OF MAILING ADDRESS | 2021-05-01 | 9140 SW 156 CT, MIAMI, FL 33196 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-01-15 | LOPEZ, MAURICIO | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-02-26 |
| AMENDED ANNUAL REPORT | 2022-05-10 |
| ANNUAL REPORT | 2022-04-04 |
| Amendment | 2021-06-29 |
| ANNUAL REPORT | 2021-05-01 |
| AMENDED ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2020-01-15 |
| Domestic Profit | 2019-07-30 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
