| Entity Name: | CHRISTIAN BEHAVIORAL HEALTH SPECIALISTS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Sep 1995 (29 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P95000073349 |
| FEI/EIN Number | 650607594 |
| Address: | 1835 East Hallandale Beach Blvd, Suite 687, Hallandale Beach, FL, 33009, US |
| Mail Address: | 1835 East Hallandale Beach Blvd, Suite 687, Hallandale Beach, FL, 33009, US |
| ZIP code: | 33009 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568793982 | 2010-01-25 | 2010-01-25 | 600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL, 330606932, US | 600 SW 3RD ST, SUITE 2270, POMPANO BEACH, FL, 330606932, US | |||||||||||||||||||||||||||
|
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| Phone | +1 954-962-9090 |
| Fax | 9549629594 |
Authorized person
| Name | MS. DENISE A CANCHOLA |
| Role | PRESIDENT |
| Phone | 9549629090 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Taxonomy Code | 364SP0808X - Psychiatric/Mental Health Clinical Nurse Specialist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| DETOURNILLON PHILIP | Agent | 1835 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| CANCHOLA DENISE | Director | 1835 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009 |
| Name | Role | Address |
|---|---|---|
| DETOURNILLON P | Treasurer | 1835 East Hallandale Beach Blvd, Hallandale Beach, FL, 33009 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-22 | 1835 East Hallandale Beach Blvd, Suite 687, Hallandale Beach, FL 33009 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-04-22 | 1835 East Hallandale Beach Blvd, Suite 687, Hallandale Beach, FL 33009 | No data |
| CHANGE OF MAILING ADDRESS | 2014-04-22 | 1835 East Hallandale Beach Blvd, Suite 687, Hallandale Beach, FL 33009 | No data |
| REGISTERED AGENT NAME CHANGED | 2001-01-16 | DETOURNILLON, PHILIP | No data |
| REINSTATEMENT | 1996-10-14 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 1996-08-23 | No data | No data |
| NAME CHANGE AMENDMENT | 1996-03-15 | CHRISTIAN BEHAVIORAL HEALTH SPECIALISTS, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-22 |
| ANNUAL REPORT | 2013-04-29 |
| ANNUAL REPORT | 2012-04-30 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-05-01 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-08-01 |
| ANNUAL REPORT | 2007-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
