| Entity Name: | COMMUNITY PSYCHOLOGY HEALTH COLLABORATIVE LLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 18 Feb 2021 |
| Company Number: | LLC_09874321 |
| File Number: | 09874321 |
| Type of Management: | Manager Managed |
| Date Status Change: | 23 May 2024 |
| Address | 12 WALNUT AVENUE, CINCINNATI, 45215, OH |
| Place of Formation: | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
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| VFURPH4P7QZ3 | 2024-08-13 | 12 WALNUT AVE, WYOMING, OH, 45215, 4336, USA | 12 WALNUT AVE, WYOMING, OH, 45215, 4336, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.cphealth.net |
| Congressional District | 08 |
| State/Country of Incorporation | IL, USA |
| Activation Date | 2023-08-18 |
| Initial Registration Date | 2023-08-14 |
| Entity Start Date | 2021-02-10 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 541611, 541618, 541720 |
| Product and Service Codes | AB11, AB12, AN11, AN12, AN21, AN22, AN41, AN42 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | EARNEST J DAVIS |
| Role | DR. |
| Address | 12 WALNUT AVE, WYOMING, OH, 45215, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | EARNEST J DAVIS |
| Role | DR. |
| Address | 12 WALNUT AVE, WYOMING, OH, 45215, USA |
| Past Performance | Information not Available |
|---|
| Name and Address | Role | Appointment Date |
|---|---|---|
| EARNEST DAVIS, 9 KELLER CT, BOLINGBROOK, 60440 | Agent | 2021-02-18 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| DAVIS, EARNEST, 12 WALNUT AVE, WYOMING, OH, 45215 | Manager | 2024-05-23 |
Date of last update: 16 Jan 2025
