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PROSPEROUS BEHAVIORAL HEALTH, LLC - Florida Company Profile

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Company Details

Entity Name: PROSPEROUS BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 22 Jul 2022 (3 years ago)
Document Number: L22000325045
FEI/EIN Number 88-3406992
Address: 5379 LYONS RD, # 1860, COCONUT CREEK, FL, 33073
Mail Address: 5379 LYONS RD, # 1860, COCONUT CREEK, FL, 33073
ZIP code: 33073
City: Pompano Beach
County: Broward
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
Prospere Fanette Manager 6102 Painted Bunting Court, Port St. Lucie, FL, 34986
PROSPERE FANETTE Agent 6102 Painted Bunting Court, Port St. Lucie, FL, 34986

National Provider Identifier

NPI Number:
1194452631
Certification Date:
2022-08-04

Authorized Person:

Name:
FANETTE PROSPERE
Role:
PMHNP/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2024-03-17 6102 Painted Bunting Court, Port St. Lucie, FL 34986 -

Documents

Name Date
ANNUAL REPORT 2024-03-17
ANNUAL REPORT 2023-04-22
Florida Limited Liability 2022-07-22

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Date of last update: 02 Aug 2025

Sources: Florida Department of State