| Entity Name: | HORIZON WEST NEUROBEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Sep 2017 (7 years ago) |
| Document Number: | L17000189906 |
| FEI/EIN Number | 82-2792416 |
| Address: | 13790 BRIDGEWATER CROSSINGS BLVD., 1080, Windermere, FL 34786 |
| Mail Address: | 13790 BRIDGEWATER CROSSINGS BLVD., Ste. 1080, Windermere, FL 34786 |
| ZIP code: | 34786 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508375742 | 2017-09-20 | 2023-08-14 | 13790 BRIDGEWATER CROSSINGS BLVD, #1080, WINDERMERE, FL, 347865447, US | 13790 BRIDGEWATER CROSSINGS BLVD, 1080, WINDERMERE, FL, 347865446, US | |||||||||||||||||
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| Phone | +1 407-461-0239 |
Authorized person
| Name | DR. NICOLE M WHITT |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 4079061037 |
Taxonomy
| Taxonomy Code | 103TH0100X - Health Service Psychologist |
| License Number | PY9639 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WHITT, KENNETH J, JR. | Agent | 13790 Bridgewater Crossings Blvd, #1080, Windermere, FL 34786 |
| Name | Role | Address |
|---|---|---|
| WHITT, NICOLE M | Authorized Member | 13790 BRIDGEWATER CROSSINGS BLVD., #1080 WINDERMERE, FL 34786 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-05-23 | 13790 BRIDGEWATER CROSSINGS BLVD., 1080, Windermere, FL 34786 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-23 | 13790 Bridgewater Crossings Blvd, #1080, Windermere, FL 34786 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-27 | 13790 BRIDGEWATER CROSSINGS BLVD., 1080, Windermere, FL 34786 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-08 |
| ANNUAL REPORT | 2023-05-23 |
| ANNUAL REPORT | 2022-06-27 |
| ANNUAL REPORT | 2021-07-27 |
| ANNUAL REPORT | 2020-05-09 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-09-16 |
| Florida Limited Liability | 2017-09-07 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2105987709 | 2020-05-01 | 0491 | PPP | 6152 Sunset Isle Dr, WINTER GARDEN, FL, 34787 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 18 Feb 2025
Sources: Florida Department of State
