| Entity Name: | PHOENIX BEHAVIORAL GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
PHOENIX BEHAVIORAL GROUP LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 15 Feb 2023 (2 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 05 Apr 2023 (2 years ago) |
| Document Number: | L23000083011 |
| FEI/EIN Number |
923918650
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 4949 TAMIAMI TRAIL N, STE 202, NAPLES, FL, 34103, US |
| Mail Address: | 4949 TAMIAMI TRAIL N, STE 202, NAPLES, FL, 34103, US |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902673031 | 2023-12-08 | 2023-12-21 | 4949 TAMIAMI TRL N STE 202, NAPLES, FL, 341033017, US | 4949 TAMIAMI TRL N STE 202, NAPLES, FL, 341033017, US | |||||||||||||||
|
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| Phone | +1 239-259-1659 |
| Fax | 2396928264 |
Authorized person
| Name | JOHANNY ORTIZ |
| Role | MBR |
| Phone | 2392769464 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ORTIZ JOHANNY | Manager | 4949 TAMIAMI TRAIL N, STE 202, NAPLES, FL, 34103 |
| ORTIZ JOHANNY | Agent | 220 9TH ST SW, NAPLES, FL, 34117 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-08 | 4949 TAMIAMI TRAIL N, STE 202, NAPLES, FL 34103 | - |
| CHANGE OF MAILING ADDRESS | 2024-02-08 | 4949 TAMIAMI TRAIL N, STE 202, NAPLES, FL 34103 | - |
| LC NAME CHANGE | 2023-04-05 | PHOENIX BEHAVIORAL GROUP LLC *** SEE NOTE *** | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| LC Name Change | 2023-04-05 |
| Florida Limited Liability | 2023-02-15 |
Date of last update: 01 May 2025
Sources: Florida Department of State
