| Entity Name: | WHOLE LIFE BEHAVIORAL HEALTH SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Jan 2022 (3 years ago) |
| Document Number: | L22000015087 |
| FEI/EIN Number | 87-4476011 |
| Address: | 5967 RIDGE LAKE CIRCLE, VERO BEACH, FL, 32967, UN |
| Mail Address: | 5967 RIDGE LAKE CIRCLE, VERO BEACH, FL, 32967, UN |
| ZIP code: | 32967 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316696958 | 2022-03-21 | 2022-03-21 | 2563 2ND ST SW, VERO BEACH, FL, 329623346, US | 2563 2ND ST SW, VERO BEACH, FL, 329623346, US | |||||||||||||
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| Phone | +1 772-480-3490 |
Authorized person
| Name | TIFFANY RODGERS |
| Role | OWNER |
| Phone | 7724803490 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODGERS TIFFANY C | Agent | 5967 RIDGE LAKE CIRCLE, VERO BEACH, FL, 32967 |
| Name | Role | Address |
|---|---|---|
| Rodgers Tiffany | Manager | 5967 RIDGE LAKE CIRCLE, VERO BEACH, 32967 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-22 |
| ANNUAL REPORT | 2024-04-12 |
| ANNUAL REPORT | 2023-01-27 |
| Florida Limited Liability | 2022-01-06 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
