Entity Name: | LEVEL UP BEHAVIORAL HEALTH LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 18 Aug 2023 (a year ago) |
Document Number: | L23000389420 |
FEI/EIN Number | 93-3009868 |
Address: | 4127 ZELKOVA COURT, NAPLES, FL 34119 |
Mail Address: | 4127 ZELKOVA COURT, NAPLES, FL 34119 |
ZIP code: | 34119 |
County: | Collier |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1407620552 | 2023-11-09 | 2024-01-31 | 4127 ZELKOVA CT, NAPLES, FL, 341199052, US | 708 GOODLETTE-FRANK RD N STE 344, NAPLES, FL, 341025644, US | |||||||||||||
|
Phone | +1 239-220-7745 |
Authorized person
Name | KEVIN CLARK |
Role | PROVIDER |
Phone | 2392207745 |
Taxonomy
Taxonomy Code | 104100000X - Social Worker |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CLARK, KEVIN | Agent | 4127 ZELKOVA COURT, NAPLES, FL 34119 |
Name | Role | Address |
---|---|---|
CLARK, KEVIN | Authorized Member | 4127 ZELKOVA COURT, NAPLES, FL 34119 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
Florida Limited Liability | 2023-08-18 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State