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ELLIE MENTAL HEALTH OF NAPLES AT 75 VINEYARDS BLVD., LLC - Florida Company Profile

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Company Details

Entity Name: ELLIE MENTAL HEALTH OF NAPLES AT 75 VINEYARDS BLVD., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 02 Aug 2022 (3 years ago)
Document Number: L22000339422
FEI/EIN Number 883345232
Address: 75 vineyards blvd, NAPLES, FL, 34119, US
Mail Address: 4421 TAMARIND WAY, NAPLES, FL, 34119, US
ZIP code: 34119
City: Naples
County: Collier
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRANT, COTTRELL & MILLER-MEYERS, PLLC Agent 5147 CASTELLO DRIVE, NAPLES, FL, 34103
JENNIFER SILVA Managing Member 4421 TAMARIND WAY, NAPLES, FL, 34119
MARCUS B. SILVA Managing Member 4421 TAMARIND WAY, NAPLES, FL, 34119
- Managing Member -

National Provider Identifier

NPI Number:
1619605706
Certification Date:
2024-01-05

Authorized Person:

Name:
MR. MARCUS SILVA
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0800X - Recovery Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G22000126569 ELLIE MENTAL HEALTH ACTIVE 2022-10-10 2027-12-31 - 75 VINEYARDS BLVD., SUITE 201, NAPLES, FL, 34119

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-02-03 75 vineyards blvd, suite 201, NAPLES, FL 34119 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-02-09
ANNUAL REPORT 2023-02-03
Florida Limited Liability 2022-08-02

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Date of last update: 01 Aug 2025

Sources: Florida Department of State