| Entity Name: | TRANSFORMATIVE HEALTHCARE SOLUTIONS WEST LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 02 Aug 2024 (6 months ago) |
| Document Number: | L24000341656 |
| Address: | 1848 SE 1ST AVE, FORT LADUERDALE, FL 33316 |
| Mail Address: | 1848 SE 1ST AVE, FORT LADUERDALE, FL 33316 |
| ZIP code: | 33316 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700610508 | 2024-08-26 | 2024-08-27 | 1848 SE 1ST AVE, FORT LAUDERDALE, FL, 333162875, US | 4820 W GANDY BLVD, TAMPA, FL, 336113003, US | |||||||||||||||||||||||||||||||
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| Phone | +1 954-885-9500 |
| Fax | 9548859444 |
Authorized person
| Name | ANN MONIS |
| Role | PRESIDENT |
| Phone | 9548859500 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
| Name | Role |
|---|---|
| KAREN B. SCHAPIRA, PLLC | Agent |
| Name | Role | Address |
|---|---|---|
| MONIS HEALTH HOLDINGS LLC | Manager | 1848 SE 1ST AVE, FORT LAUDERDALE, FL 33316 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-02 |
Date of last update: 07 Jan 2025
Sources: Florida Department of State
