| Entity Name: | IN BLOOM BEHAVIORAL HEALTH, PLLC |
| Jurisdiction: | Illinois |
| Entity Type: | Limited Liability Company |
| Status: | Goodstanding |
| Date Formed: | 28 Jun 2024 |
| Company Number: | LLC_14868488 |
| File Number: | 14868488 |
| Type of Management: | Manager Managed |
| Date Status Change: | 28 Jun 2024 |
| Address | 10725 S WESTERN AVENUE, CHICAGO, 60643, IL |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| NORTHWEST REGISTERED AGENT SERVICE, INC., 2501 CHATHAM RD SUITE N, SPRINGFIELD, 62704 | Agent | 2024-06-28 |
| Name and Address | Role | Appointment Date |
|---|---|---|
| CRYSTAL BALFOUR, 2501 CHATHAM RD SUITE N, SPRINGFIELD, IL, 62704 | Manager | 2024-06-28 |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| LIMITED LIABILITY CO | 248005310 | No data | No data | PROFESSIONAL LIMITED LIABILITY COMPANY | No data | 2024-10-03 | 2024-10-03 | 2028-01-01 |
Date of last update: 20 Jan 2025
