| Entity Name: | WILDWOOD BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 20 May 2020 |
| Business ALEI: | 1344677 |
| Annual report due: | 31 Mar 2024 |
| NAICS code: | 624190 - Other Individual and Family Services |
| Business address: | 1250 Durham Rd, Madison, CT, 06443-8015, United States |
| Mailing address: | PO BOX 1126, MADISON, CT, United States, 06443 |
| ZIP code: | 06443 |
| County: | New Haven |
| Place of Formation: | CONNECTICUT |
| E-Mail: | michael.hinkley@recoveryatwildwoodfarm.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| MICHAEL HINKLEY DR. | Agent | 11 WOODLAND ROAD, SUITE 2, MADISON, CT, 06443, United States | 11 WOODLAND ROAD, SUITE 2, MADISON, CT, 06443, United States | +1 203-800-6159 | michael.hinkley@recoveryatwildwoodfarm.com | 4 MADISON AVENUE, MADISON, CT, 06443, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| DR. MICHAEL HINKLEY | Officer | 11 WOODLAND ROAD, SUITE 2, MADISON, CT, 06443, United States | 4 MADISON AVENUE, MADISON, CT, 06443, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| SA.0000634 | Substance Abuse | LICENSEE NOT RENEWING | ACTIVE | 2021-07-14 | 2021-07-12 | 2023-06-30 |
| POCA.0000759 | Psychiatric Outpatient Clinic | LICENSEE NOT RENEWING | ACTIVE | 2021-07-14 | 2021-07-12 | 2024-06-30 |
| MHDT.0000079 | Mental Health Day Treatment | LICENSEE NOT RENEWING | ACTIVE | 2021-07-14 | 2021-07-12 | 2024-06-30 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011357088 | 2023-03-29 | No data | Annual Report | Annual Report | No data |
| BF-0010333077 | 2022-04-08 | No data | Annual Report | Annual Report | 2022 |
| BF-0009788179 | 2021-07-09 | No data | Annual Report | Annual Report | No data |
| 0006907460 | 2020-05-20 | 2020-05-20 | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
