| Entity Name: | LUCID HEALING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Aug 2024 (6 months ago) |
| Document Number: | L24000350160 |
| FEI/EIN Number | 994855170 |
| Address: | 3450 Northlake Blvd #110, PALM BEACH GARDENS, FL, 33403, US |
| Mail Address: | 8349 S. VIRGINIA AVE, PALM BEACH GARDENS, FL, 33418, US |
| ZIP code: | 33403 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396563920 | 2024-10-02 | 2024-10-02 | 3450 NORTHLAKE BLVD STE 110, PALM BEACH GARDENS, FL, 334031712, US | 3450 NORTHLAKE BLVD STE 110, PALM BEACH GARDENS, FL, 334031712, US | |||||||||||||
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| Phone | +1 561-667-3383 |
Authorized person
| Name | ANTHONY CAMAEREI |
| Role | MGR |
| Phone | 5702421768 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RAPPA KELLY | Agent | 8349 S. VIRGINIA AVE, PALM BEACH GARDENS, FL, 33418 |
| Name | Role | Address |
|---|---|---|
| RAPPA KELLY | Manager | 8349 S. VIRGINIA AVE, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-11-06 | 3450 Northlake Blvd #110, PALM BEACH GARDENS, FL 33403 | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-08-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
