| Entity Name: | REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Jan 2020 (5 years ago) |
| Document Number: | P20000008707 |
| FEI/EIN Number | APPLIED FOR |
| Address: | 3651 FAU BLVD, STE 400, BOCA RATON, FL 33431 |
| Mail Address: | 3651 FAU BLVD, STE 400, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA, MISSISSIPPI | 1391608 | MISSISSIPPI |
| Headquarter of | REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA, MINNESOTA | f988c02d-85d8-ed11-906a-00155d01c614 | MINNESOTA |
| Headquarter of | REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA, COLORADO | 20231350428 | COLORADO |
| Headquarter of | REACHLINK TELEBEHAVIORAL HEALTH SERVICES PA, IDAHO | 5170720 | IDAHO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861032138 | 2020-01-14 | 2021-05-21 | 3651 FAU BLVD STE 400, BOCA RATON, FL, 334316489, US | 3651 FAU BLVD STE 400, BOCA RATON, FL, 334316489, US | |||||||||||||||||||||||
|
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| Phone | +1 833-732-2489 |
| Fax | 8332732242 |
Authorized person
| Name | TAMARA PETRELLI |
| Role | PRESIDENT |
| Phone | 8337322489 |
Taxonomy
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PETRELLI, TAMARA | President | 3651 FAU BLVD STE 400, BOCA RATON, FL 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-14 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-29 |
| Domestic Profit | 2020-01-23 |
Date of last update: 16 Jan 2025
Sources: Florida Department of State
