Entity Name: | CLARKE PSYCH AND WELLNESS CARE LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 28 May 2024 (8 months ago) |
Document Number: | L24000242845 |
Address: | 7754 OKEECHOBEE BLVD, 445, WEST PALM BEACH, FL, 33411, US |
Mail Address: | 7754 OKEECHOBEE BLVD, 445, WEST PALM BEACH, FL, 33411, US |
ZIP code: | 33411 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1184469934 | 2024-06-25 | 2024-10-31 | 7754 OKEECHOBEE BOULEVARD, 445, WEST PALM BEACH, FL, 334116481, US | 3361 COMMODORE CT, WEST PALM BEACH, FL, 334116481, US | |||||||||||||||||
|
Phone | +1 561-331-3577 |
Authorized person
Name | NADINE CLARKE |
Role | REGISTERED AGENT |
Phone | 5613313577 |
Taxonomy
Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
Is Primary | Yes |
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | No |
Name | Role | Address |
---|---|---|
CLARKE NADINE | Agent | 7754 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33411 |
Name | Role | Address |
---|---|---|
CLARKE NADINE | Manager | 7754 OKEECHOBEE BLVD, WEST PALM BEACH, FL, 33411 |
Name | Date |
---|---|
Florida Limited Liability | 2024-05-28 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State