| Entity Name: | PSYCH HEALTH SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Sep 2022 (2 years ago) |
| Document Number: | L22000412461 |
| FEI/EIN Number | 92-0478631 |
| Address: | 1800 PEMBROOK DR., SUITE 300, ORLANDO, FL, 32810 |
| Mail Address: | 1800 PEMBROOK DR., SUITE 300, ORLANDO, FL, 32810 |
| ZIP code: | 32810 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033827530 | 2022-11-14 | 2023-10-08 | 1800 PEMBROOK DR STE 300, ORLANDO, FL, 328106378, US | 1800 PEMBROOK DR STE 300, ORLANDO, FL, 328106378, US | |||||||||||||
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| Phone | +1 407-690-0775 |
Authorized person
| Name | AL BERRY |
| Role | CREDENTIALING MANAGER |
| Phone | 3213207512 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LISENIE MAYARD | Agent | 8700 MAITLAND SUMMIT BLVD, ORLANDO, FL, 32810 |
| Name | Role | Address |
|---|---|---|
| MAYARD LISENIE | Manager | 8700 MAITLAND SUMMIT BLVD #140, ORLANDO, FL, 32810 |
| Name | Role | Address |
|---|---|---|
| Mayard Franck N | Auth | 8700 Maitland Summit Blvd, Orlando, FL, 32810 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-05 |
| ANNUAL REPORT | 2023-04-27 |
| Florida Limited Liability | 2022-09-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
