| Entity Name: | LUMEN CORDIS BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jul 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 24 Aug 2020 (4 years ago) |
| Document Number: | L20000221027 |
| FEI/EIN Number | 85-2365817 |
| Address: | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL, 33409, US |
| Mail Address: | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL, 33409, US |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295333706 | 2020-10-16 | 2020-10-16 | 931 VILLAGE BLVD STE 905-251, WEST PALM BEACH, FL, 334091803, US | 2936 HIDDEN HILLS RD APT 1503, WEST PALM BEACH, FL, 334114826, US | |||||||||||||
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| Phone | +1 954-643-3825 |
Authorized person
| Name | ANA P MARTINEZ |
| Role | OWNER |
| Phone | 9546433825 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MATTOS ANA P | Agent | 931 VILLAGE BLVD, WEST PALM BEACH, FL, 33409 |
| Name | Role | Address |
|---|---|---|
| MARTINEZ MATTOS ANA P | Manager | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL, 33409 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-01 | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-01 | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL 33409 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-02-01 | 931 VILLAGE BLVD, STE 905-251, WEST PALM BEACH, FL 33409 | No data |
| LC AMENDMENT | 2020-08-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-26 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-02-01 |
| LC Amendment | 2020-08-24 |
| Florida Limited Liability | 2020-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
