| Entity Name: | VEN MENTAL HEALTH VERO BEACH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Sep 2024 (5 months ago) |
| Document Number: | L24000407738 |
| Address: | 847 20TH PL, VERO BEACH, FL 32060 |
| Mail Address: | 847 20TH PL, VERO BEACH, FL 32060 |
| ZIP code: | 32060 |
| County: | Suwannee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790504553 | 2024-10-08 | 2024-10-08 | 13917 GOLD CIR, OMAHA, NE, 681442359, US | 847 20TH PL, VERO BEACH, FL, 329605357, US | |||||||||||||||||||||
|
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| Phone | +1 402-991-9630 |
Authorized person
| Name | VITHYALAKSHMI SELVARAJ |
| Role | OWNER |
| Phone | 4029919630 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WAGNER, CHUCK | Agent | 847 20TH PL, VERO BEACH, FL 32060 |
| Name | Role | Address |
|---|---|---|
| SELVARAJ, VITHYALAKSHMI | Authorized Member | 13917 GOLD CIR, OMAHA, FL 68144 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-09-18 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
