| Entity Name: | PIVOT TREATMENT & WELLNESS CENTERS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 26 Apr 2018 (7 years ago) |
| Document Number: | L18000105660 |
| FEI/EIN Number | 82-5405799 |
| Address: | 330 us highway 1, lake park, FL 33403 |
| Mail Address: | 330 us highway 1, lake park, FL 33403 |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790243640 | 2019-03-11 | 2019-12-09 | 330 US 1 STE 3, LAKE PARK, FL, 334033531, US | 330 US 1 STE 3, LAKE PARK, FL, 334033531, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 800-844-3149 |
Authorized person
| Name | TANYA YOUNG WILLIAMS |
| Role | AUTHORIZED OFFICIAL |
| Phone | 8008443149 |
Taxonomy
| Taxonomy Code | 261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ELEFANT, JACOB | Agent | 7119 VIA MARBELLA, BOCA RATON, FL 33433 |
| Name | Role | Address |
|---|---|---|
| Elefant, Jacob | President | 7119 Via Marbella, Boca Raton, FL 33433 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-06-15 | 330 us highway 1, lake park, FL 33403 | No data |
| CHANGE OF MAILING ADDRESS | 2023-06-15 | 330 us highway 1, lake park, FL 33403 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-05-17 |
| ANNUAL REPORT | 2019-03-19 |
| Florida Limited Liability | 2018-04-26 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
