| Entity Name: | MONARCH MENTAL HEALTH & WELLNESS SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jul 2020 (5 years ago) |
| Document Number: | L20000222082 |
| FEI/EIN Number | 85-2318963 |
| Address: | 401 EAST LAS OLAS BLVD, SUITE 130-146, FORT LAUDERDALE, FL, 33301 |
| Mail Address: | 401 EAST LAS OLAS BLVD, SUITE 130-146, FORT LAUDERDALE, FL, 33301 |
| ZIP code: | 33301 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033729843 | 2020-08-06 | 2020-08-06 | 401 E LAS OLAS BLVD STE 130-146, FORT LAUDERDALE, FL, 333012210, US | 648 NW 183RD STREET, MIAMI GARDENS, FL, 331693331, US | |||||||||||||||||||||||||||||
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| Phone | +1 954-560-7124 |
| Fax | 9542060500 |
| Phone | +1 954-399-6004 |
Authorized person
| Name | MRS. CLAUDENIE MONDESIR |
| Role | PHYSICIAN ASSISTANT |
| Phone | 9545607124 |
Taxonomy
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1952715682 |
| State | FL |
| Issuer | NPI |
| Number | 1447695184 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| MONDESIR CLAUDENIE | Agent | 4857 NW 67TH AVENUE, LAUDERHILL, FL, 33319 |
| Name | Role | Address |
|---|---|---|
| MONDESIR CLAUDENIE | Manager | 4857 NW 67TH AVENUE, LAUDERHILL, FL, 33319 |
| JOHNSON ANDRE L | Manager | 4857 NW 67TH AVENUE, LAUDERHILL, FL, 33319 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000041410 | MONARCH MEDICAL & WELLNESS CENTER | ACTIVE | 2024-03-24 | 2029-12-31 | No data | 401 E. LAS OLAS BLVD, SUITE 130-146, FORT LAUDERDALE, FL, 33301 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-05-07 |
| ANNUAL REPORT | 2021-04-26 |
| Florida Limited Liability | 2020-07-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
