| Entity Name: | AMBRIA PAGE LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AMBRIA PAGE LCSW, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 06 Mar 2024 (a year ago) |
| Document Number: | L24000115168 |
| Address: | 4 OFFICE PARK DRIVE, 201, PALM COAST, FL, 32137, US |
| Mail Address: | 4 OFFICE PARK DRIVE, 201, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427890243 | 2024-06-11 | 2024-06-11 | 4 OFFICE PARK DR UNIT 201, PALM COAST, FL, 321373809, US | 4 OFFICE PARK DR UNIT 201, PALM COAST, FL, 321373809, US | |||||||||||||||
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| Phone | +1 904-315-9248 |
| Fax | 3863092350 |
Authorized person
| Name | AMBRIA JACQUELYN PAGE |
| Role | PROVIDER/OWNER/AUTHORIZED PERSON |
| Phone | 9043159248 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PAGE AMBRIA J | Authorized Person | 4 OFFICE PARK DRIVE SUITE 201, PALM COAST, FL, 32137 |
| PAGE AMBRIA J | Agent | 4 OFFICE PARK DRIVE, PALM COAST, FL, 32137 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-06 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
