Entity Name: | ELEVATION BEHAVIORAL SOLUTIONS, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 06 Nov 2023 (a year ago) |
Document Number: | L23000502543 |
FEI/EIN Number | 93-4308628 |
Address: | 18981 US HWY 441, MOUNT DORA, FL 32757 |
Mail Address: | P.O. BOX 150, MOUNT DORA, FL 32757 |
ZIP code: | 32757 |
County: | Lake |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1235903071 | 2023-11-13 | 2023-11-16 | 18981 US HIGHWAY 441, MOUNT DORA, FL, 327576735, US | 417 W BLUE WATER EDGE DR, EUSTIS, FL, 327362255, US | |||||||||||||||||||||
|
Phone | +1 321-278-7175 |
Authorized person
Name | ASHA M FURNESS |
Role | CEO |
Phone | 3212787175 |
Taxonomy
Taxonomy Code | 103K00000X - Behavior Analyst |
Is Primary | Yes |
Taxonomy Code | 106E00000X - Assistant Behavior Analyst |
Is Primary | No |
Taxonomy Code | 106S00000X - Behavior Technician |
Is Primary | No |
Name | Role | Address |
---|---|---|
FURNESS, ASHA M | Agent | 18981 US HWY 441, MOUNT DORA, FL 32757 |
Name | Role | Address |
---|---|---|
FURNESS, ASHA M | Chief Executive Officer | 18981 US HWY 441, MOUNT DORA, FL 32757 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-08 |
Florida Limited Liability | 2023-11-06 |
Date of last update: 09 Feb 2025
Sources: Florida Department of State