| Entity Name: | PUR BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Aug 2023 (2 years ago) |
| Document Number: | L23000376560 |
| FEI/EIN Number | 93-2849801 |
| Address: | 1406 16TH STREET, VERO BEACH, FL 32960 |
| Mail Address: | 1406 16TH STREET, VERO BEACH, FL 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578346227 | 2023-08-16 | 2023-08-16 | 1406 16TH ST, VERO BEACH, FL, 329603625, US | 1406 16TH ST, VERO BEACH, FL, 329603625, US | |||||||||||||||||
|
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| Phone | +1 772-584-3692 |
Authorized person
| Name | MR. KENNETH COOPER |
| Role | CEO |
| Phone | 7729719197 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 2084P0802X - Addiction Psychiatry Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role |
|---|---|
| PURHEALTH HOLDINGS LLC | Authorized Member |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-15 |
| Florida Limited Liability | 2023-08-10 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State
