Entity Name: | STAND BEHAVIORAL HEALTH FLORIDA, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 08 May 2024 (9 months ago) |
Document Number: | L24000215065 |
FEI/EIN Number | 99-3038543 |
Address: | 5851 La Gorce Circle, Lake Worth, FL 33463 |
Mail Address: | 5851 La Gorce Circle, Lake Worth, FL 33463 |
ZIP code: | 33463 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1053160796 | 2024-05-15 | 2024-05-15 | 3329 S CONGRESS AVE STE A, PALM SPRINGS, FL, 334613001, US | 3329 S CONGRESS AVE STE A, PALM SPRINGS, FL, 334613001, US | |||||||||||||
|
Phone | +1 302-367-5064 |
Authorized person
Name | JAMIE SALSBERG |
Role | OWNER/MANAGER |
Phone | 3023675064 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
SALSBERG, JAMIE | Agent | 5851 LA GORCE CIRCLE, LAKE WORTH, FL 33463 |
Name | Role | Address |
---|---|---|
SALSBERG, JAMIE | Owner | 5851 La Gorce Circle, Lake Worth, FL 33463 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2025-02-07 | 5851 La Gorce Circle, Lake Worth, FL 33463 | No data |
CHANGE OF MAILING ADDRESS | 2025-02-07 | 5851 La Gorce Circle, Lake Worth, FL 33463 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-02-07 |
Florida Limited Liability | 2024-05-08 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State