| 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 (12 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 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659193357 | 2024-10-25 | 2024-10-25 | 518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 349838734, US | 518 SW PRIMA VISTA BLVD, PORT ST LUCIE, FL, 349838734, US | |||||||||||||||
|
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| Phone | +1 772-873-8811 |
| Fax | 7728738800 |
Authorized person
| Name | IVAN RAFAEL JIMENEZ |
| Role | HR DIRECTOR |
| Phone | 5612531770 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MEROLA JAMES R | Agent | 600 Sandtree Drive, PALM BEACH GARDENS, FL, 33403 |
| Name | Role | Address |
|---|---|---|
| PAJARES ALICIA B | President | 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| MALOOF MARIA I | Secretary | 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| DORANTE JOSE M | Treasurer | 518 SW Prima Vista Blvd, Port Saint Lucie, FL, 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-17 | 518 SW Prima Vista Blvd, Port Saint Lucie, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-17 | 518 SW Prima Vista Blvd, Port Saint Lucie, FL 34983 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-06 | 600 Sandtree Drive, Suite 106, PALM BEACH GARDENS, FL 33403 | No data |
| AMENDMENT | 2012-12-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-12-03 | MEROLA, JAMES R | No data |
| 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 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
