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ELLIE PBC2 LLC

Company Details

Entity Name: ELLIE PBC2 LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 30 Jan 2024 (a year ago)
Document Number: L24000056288
Address: 111 SE 1ST AVENUE, APT 405, DELRAY BEACH, FL 33444
Mail Address: 111 SE 1ST AVENUE, APT 405, DELRAY BEACH, FL 33444
ZIP code: 33444
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700644408 2024-03-08 2024-08-23 111 SE 1ST AVE APT 405, DELRAY BEACH, FL, 334443796, US 8895 N MILITARY TRL STE 202B, WEST PALM BEACH, FL, 334106284, US

Contacts

Phone +1 917-855-2799

Authorized person

Name MR. GREGG MELNICK
Role OWNER
Phone 9178552799

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary Yes

Agent

Name Role Address
BLOCK & SCARPA Agent 601 21ST STREET, SUITE 401, VERO BEACH, FL 32960

MBMG

Name Role
ESFL HOLDINGS, INC. MBMG

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000034854 ELLIE MENTAL HEALTH - PALM BEACH GARDENS ACTIVE 2024-03-07 2029-12-31 No data 111 SE 1ST AVE, APT 405, DELRAY BEACH, FL, 33444

Documents

Name Date
Florida Limited Liability 2024-01-30

Date of last update: 08 Jan 2025

Sources: Florida Department of State