| Entity Name: | MITO BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 30 Jul 2024 (6 months ago) |
| Document Number: | L24000330257 |
| Address: | 7570 S FEDERAL HWY, SUITE 2, HYPOLUXO, FL 33462 |
| Mail Address: | 7570 S FEDERAL HWY, SUITE 2, HYPOLUXO, FL 33462 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902633456 | 2024-09-18 | 2024-09-23 | 7570 S FEDERAL HWY, STE 2, HYPOLUXO, FL, 33462, US | 7570 S FEDERAL HWY, STE 2, HYPOLUXO, FL, 33462, US | |||||||||||||
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| Phone | +1 845-608-9586 |
Authorized person
| Name | SAMANTHA PATTERSON |
| Role | BILLING MANAGER |
| Phone | 9043673363 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Name | Role |
|---|---|
| VCORP AGENT SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| PHILIPSON, GABRIELLE | Manager | 7570 S FEDERAL HWY, SUITE 2, HYPOLUXO, FL 33462 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-07-30 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
