| Entity Name: | PRISMA RECOVERY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 11 Sep 2023 (a year ago) |
| Document Number: | L23000423449 |
| FEI/EIN Number | 933341000 |
| Mail Address: | 120 N FEDERAL HWY, SUITE 206, LAKE WORTH, FL, 33460, UN |
| Address: | 7205 CYPRESS DRIVE, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1770327207 | 2024-06-20 | 2024-06-20 | 120 N FEDERAL HWY STE 206, LAKE WORTH, FL, 334603493, US | 7205 CYPRESS DR, FORT MYERS, FL, 339072975, US | |||||||||||||||
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| Phone | +1 772-812-9652 |
| Fax | 8335350164 |
Authorized person
| Name | JARED TURNER |
| Role | BILLING MANAGER |
| Phone | 7728129652 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CATALYST TAX & CONSULTING LLC | Agent | 2200 CORPORATE BLVD NW, BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| RICCI MARYANN | Manager | 120 N FEDERAL HWY, SUITE 206, LAKE WORTH, FL, 33460 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| Florida Limited Liability | 2023-09-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
