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PHOENIX MENTAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: PHOENIX MENTAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 25 Mar 2014 (11 years ago)
Document Number: L14000049246
FEI/EIN Number 38-3927788
Address: 2440 SE FEDERAL HWY, STUART, FL, 34994
Mail Address: 2440 SE FEDERAL HWY, STUART, FL, 34994
ZIP code: 34994
City: Stuart
County: Martin
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Latty Alicia Authorized Member 2440 SE FEDERAL HWY, STUART, FL, 34994
Cardell Jalyssa Manager 2440 SE FEDERAL HWY, STUART, FL, 34994
- Authorized Member -
LEGACY TAX, INC. Agent 1818 S. AUSTRALIAN AVE., WEST PALM BEACH, FL, 33409

National Provider Identifier

NPI Number:
1780091884

Authorized Person:

Name:
LYNN E VARELA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-03-13
ANNUAL REPORT 2023-03-14
AMENDED ANNUAL REPORT 2022-03-21
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-17
ANNUAL REPORT 2020-03-16
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-03-17
ANNUAL REPORT 2017-03-17
ANNUAL REPORT 2016-04-01

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Date of last update: 02 Aug 2025

Sources: Florida Department of State