| Entity Name: | ELYSIUM MENTAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2022 (3 years ago) |
| Document Number: | L22000227425 |
| FEI/EIN Number | 88-2525602 |
| Address: | 541 CHANTILLY TRL, BRADENTON, FL, 34212, US |
| Mail Address: | 541 CHANTILLY TRL, BRADENTON, FL, 34212, US |
| ZIP code: | 34212 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356080378 | 2022-05-27 | 2022-05-27 | 541 CHANTILLY TRL, BRADENTON, FL, 342125023, US | 541 CHANTILLY TRL, BRADENTON, FL, 342125023, US | |||||||||||||||
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| Phone | +1 941-448-0596 |
| Fax | 9183989318 |
Authorized person
| Name | MARCO A RABINES |
| Role | OWNER |
| Phone | 9545366390 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RABINES MARCO A | Agent | 541 CHANTILLY TRL, BRADENTON, FL, 34212 |
| Name | Role | Address |
|---|---|---|
| RABINES MARCO A | Authorized Member | 541 CHANTILLY TRL, BRADENTON, FL, 34212 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-07-21 |
| Florida Limited Liability | 2022-05-16 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
