| Entity Name: | PATTY'S PLACE, CONCIERGE YOUTH MENTAL HEALTH CARE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 May 2022 (3 years ago) |
| Document Number: | L22000219504 |
| FEI/EIN Number | 883646909 |
| Address: | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 33904, US |
| Mail Address: | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 33904, US |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063292027 | 2023-10-05 | 2023-10-05 | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 339047164, US | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 339047164, US | |||||||||||||
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| Phone | +1 239-471-7047 |
Authorized person
| Name | PATRICIA M DEVOST |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 2394717047 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEVOST PATRICIA M | Agent | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 33904 |
| Name | Role | Address |
|---|---|---|
| DEVOST DEVAN J | Manager | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 33904 |
| DEVOST LOGAN B | Manager | 4109 DEL PRADO BLVD S, CAPE CORAL, FL, 33904 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 4109 DEL PRADO BLVD S, CAPE CORAL, FL 33904 | No data |
| CHANGE OF MAILING ADDRESS | 2022-11-22 | 4109 DEL PRADO BLVD S, CAPE CORAL, FL 33904 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-05-01 |
| Florida Limited Liability | 2022-05-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
