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LEGACY BEHAVIORAL HEALTH CENTER, INC. - Florida Company Profile

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Company Details

Entity Name: LEGACY BEHAVIORAL HEALTH CENTER, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 18 Jul 2005 (20 years ago)
Last Event: AMENDMENT
Event Date Filed: 03 Dec 2012 (13 years ago)
Document Number: P05000100310
FEI/EIN Number 900242545
Address: 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983, US
Mail Address: 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983, US
ZIP code: 34983
City: Port Saint Lucie
County: St. Lucie
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
PAJARES ALICIA B President 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983
MALOOF MARIA I Secretary 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983
DORANTE JOSE M Treasurer 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983
MEROLA JAMES R Agent 600 Sandtree Drive, PALM BEACH GARDENS, FL, 33403

Unique Entity ID

Unique Entity ID:
JXHBJKLEECU3
UEI Expiration Date:
2026-01-10

Business Information

Activation Date:
2025-01-13
Initial Registration Date:
2022-10-20

National Provider Identifier

NPI Number:
1659193357
Certification Date:
2024-10-25

Authorized Person:

Name:
IVAN RAFAEL JIMENEZ
Role:
HR DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fax:
7728738800

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-17 518 SW Prima Vista Blvd, Port Saint Lucie, FL 34983 -
CHANGE OF MAILING ADDRESS 2023-07-17 518 SW Prima Vista Blvd, Port Saint Lucie, FL 34983 -
REGISTERED AGENT ADDRESS CHANGED 2019-03-06 600 Sandtree Drive, Suite 106, PALM BEACH GARDENS, FL 33403 -
AMENDMENT 2012-12-03 - -
REGISTERED AGENT NAME CHANGED 2012-12-03 MEROLA, JAMES R -

Documents

Name Date
ANNUAL REPORT 2024-02-09
AMENDED ANNUAL REPORT 2023-07-17
ANNUAL REPORT 2023-03-15
ANNUAL REPORT 2022-03-09
ANNUAL REPORT 2021-03-09
ANNUAL REPORT 2020-02-11
ANNUAL REPORT 2019-03-06
ANNUAL REPORT 2018-03-01
ANNUAL REPORT 2017-02-14
ANNUAL REPORT 2016-01-25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State