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