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LATITUDE BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: LATITUDE BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Aug 2023 (a year ago)
Document Number: L23000399871
FEI/EIN Number 93-3376549
Address: 5818 BROAD RIVER RUN, ELLENTON, FL 34222
Mail Address: 5818 BROAD RIVER RUN, ELLENTON, FL 34222
ZIP code: 34222
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376321638 2023-09-18 2023-09-18 5818 BROAD RIVER RUN, ELLENTON, FL, 342227266, US 5818 BROAD RIVER RUN, ELLENTON, FL, 342227266, US

Contacts

Phone +1 386-237-4751

Authorized person

Name ALEXANDREA NATALYA FIGUEROA
Role CO-OWNER
Phone 3862374751

Taxonomy

Taxonomy Code 103K00000X - Behavior Analyst
Is Primary Yes

Agent

Name Role Address
FIGUEROA, ALEXANDREA Agent 5818 BROAD RIVER RUN, ELLENTON, FL 34222

Authorized Member

Name Role Address
CLARKE, ALEXANDER Authorized Member 6253 WILLET COURT, LAKEWOOD RANCH, FL 34202
FIGUEROA, MICHAEL Authorized Member 5818 BROAD RIVER RUN, ELLENTON, FL 34222

Documents

Name Date
ANNUAL REPORT 2024-05-13
Florida Limited Liability 2023-08-25

Date of last update: 09 Jan 2025

Sources: Florida Department of State