| Entity Name: | SERENE BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2023 (2 years ago) |
| Document Number: | L23000144703 |
| FEI/EIN Number | 92-3245569 |
| Address: | 2069 BANBURY LANE, SPRING HILL, FL, 34609, US |
| Mail Address: | 2069 BANBURY LANE, SPRING HILL, FL, 34609, US |
| ZIP code: | 34609 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740975895 | 2023-04-05 | 2024-09-09 | 2069 BANBURY LN, SPRING HILL, FL, 346096014, US | 2069 BANBURY LN, SPRING HILL, FL, 346096014, US | |||||||||||||||||||||||||||
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| Phone | +1 727-626-2067 |
| Fax | 7273806287 |
Authorized person
| Name | AMANDA SPADAFORA |
| Role | CEO |
| Phone | 3529423824 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RAVELING JULIA | Agent | 13425 BOLTON CT, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| SPADAFORA AMANDA | Chief Executive Officer | 2069 BANBURY LANE, SPRING HILL, FL, 34609 |
| Name | Role | Address |
|---|---|---|
| RAVELING JULIA | Chief Financial Officer | 13425 BOLTON CT, SPRING HILL, FL, 34609 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000068119 | SERENE MIND & WELLNESS, LLC | ACTIVE | 2023-06-02 | 2028-12-31 | No data | 2069 BANBURY LANE, SPRING HILL, FL, 34609 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| Florida Limited Liability | 2023-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
