| Entity Name: | NEFESH PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 25 Oct 2022 (2 years ago) |
| Document Number: | L22000458390 |
| FEI/EIN Number | 92-0826020 |
| Address: | 139 EXECUTIVE CIRCLE, SUITE 104, DAYTONA BEACH, FL, 32114, US |
| Mail Address: | 2662 LPGA BLVD, #707, DAYTONA BEACH, FL, 32124, US |
| ZIP code: | 32114 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235845744 | 2023-01-27 | 2023-01-27 | 2662 LPGA BLVD # 707, DAYTONA BEACH, FL, 321241008, US | 139 EXECUTIVE CIR STE 104, DAYTONA BEACH, FL, 321147102, US | |||||||||||||||||||
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| Phone | +1 386-400-3077 |
| Fax | 9494048439 |
Authorized person
| Name | ZUZANA SEGEV |
| Role | PRACTICE OWNER |
| Phone | 3864003077 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SHELLEY ROSE P | Agent | 1515 HERBERT STREET, PORT ORANGE, FL, 32129 |
| Name | Role | Address |
|---|---|---|
| SEGEV ZUZANA | Director | 132 BLACK HICKORY WAY, ORMOND BEACH, FL, 32174 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-03 |
| Florida Limited Liability | 2022-10-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
