| Entity Name: | MONARCH ACADEMY FOR NEURODIVERGENT YOUTH & YOUNG ADULTS L.L.C. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 29 Jun 2023 (2 years ago) |
| Document Number: | L23000313045 |
| FEI/EIN Number | 93-4207184 |
| Address: | 5422 First Coast Hwy,, Ste 102, Fernandina Beach, FL 32034 |
| Mail Address: | 3948 3RD ST S, #121, Jax Beach, FL 32250 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1790519270 | 2024-08-28 | 2024-08-28 | 3948 3RD ST S # 121, JACKSONVILLE BEACH, FL, 322505847, US | 5422 FIRST COAST HWY STE 102, AMELIA ISLAND, FL, 320345403, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 949-232-0513 |
Authorized person
| Name | DR. AMARIS AVELLAN |
| Role | POSTDOCTORAL CLINICAL PSYCH FELLOW |
| Phone | 9492320513 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 174200000X - Meals Provider |
| Is Primary | No |
| Taxonomy Code | 177F00000X - Lodging Provider |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | No |
| Taxonomy Code | 385H00000X - Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2050X - Respite Care Camp |
| Is Primary | No |
| Taxonomy Code | 385HR2055X - Child Mental Illness Respite Care |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Name | Role |
|---|---|
| UNITED STATES CORPORATION AGENTS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| AVELLAN, AMARIS A, Dr. | Authorized Member | 3948 3RD ST S, #121 Jax Beach, FL 32250 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-06 | 5422 First Coast Hwy,, Ste 102, Fernandina Beach, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-04 | 5422 First Coast Hwy,, Ste 102, Fernandina Beach, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| Florida Limited Liability | 2023-06-29 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
