Entity Name: | ONYX BEHAVIORAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 27 Feb 2023 (2 years ago) |
Document Number: | L23000104119 |
FEI/EIN Number | 92-2771570 |
Address: | 699 NW AIROSO BOULEVARD, PORT ST. LUCIE, FL 34983 |
Mail Address: | 699 NW AIROSO BOULEVARD, PORT ST. LUCIE, FL 34983 |
ZIP code: | 34983 |
County: | St. Lucie |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1811698152 | 2023-03-14 | 2023-11-15 | 699 NW AIROSO BLVD, PORT ST LUCIE, FL, 349831108, US | 699 NW AIROSO BLVD, PORT ST LUCIE, FL, 349831108, US | |||||||||||||||||||||||
|
Phone | +1 772-205-3160 |
Fax | 7726730218 |
Authorized person
Name | MR. SAMUEL PHILIP KESARIS |
Role | CEO, OWNER |
Phone | 9546653826 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
Is Primary | No |
Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
Is Primary | Yes |
Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
Is Primary | No |
Name | Role | Address |
---|---|---|
DIBARTOLOMEO, MCBEE, HARTLEY & BARNES | Agent | 2222 COLONIAL ROAD, STE. 200, FORT PIERCE, FL 34950 |
Name | Role |
---|---|
USR HOLDINGS, LLC | Manager |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-08 |
Florida Limited Liability | 2023-02-27 |
Date of last update: 10 Jan 2025
Sources: Florida Department of State