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STAND BEHAVIORAL HEALTH FLORIDA, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
SALSBERG, JAMIE Agent 5851 LA GORCE CIRCLE, LAKE WORTH, FL 33463

Owner

Name Role Address
SALSBERG, JAMIE Owner 5851 La Gorce Circle, Lake Worth, FL 33463

Events

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

Documents

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