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ELLIE PBC LLC

Company Details

Entity Name: ELLIE PBC LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 17 Aug 2023 (a year ago)
Document Number: L23000385037
FEI/EIN Number N/A
Address: 111 SE 1ST AVE APT 405, DELRAY BEACH, FL 33444
Mail Address: 111 SE 1ST AVE APT 405, DELRAY BEACH, FL 33444
ZIP code: 33444
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942081872 2023-10-06 2023-10-14 111 SE 1ST AVE APT 405, DELRAY BEACH, FL, 334443796, US 2290 10TH AVE N STE 601, LAKE WORTH, FL, 334616618, US

Contacts

Phone +1 917-855-2799

Authorized person

Name MR. GREGG MELNICK
Role OWNER
Phone 9178552799

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
BLOCK & SCARPA Agent 601 21ST ST STE 401, VERO BEACH, FL 23960

MBMG

Name Role
ESFL HOLDINGS, INC. MBMG

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G23000121088 ELLIE MENTAL HEALTH - LAKE WORTH FLORIDA ACTIVE 2023-09-29 2028-12-31 No data 111 SE 1ST AVENUE APT 405, DELRAY BEACH, FL, 33444

Documents

Name Date
ANNUAL REPORT 2024-03-15
Florida Limited Liability 2023-08-17

Date of last update: 09 Jan 2025

Sources: Florida Department of State