| Entity Name: | MERIDIAN BEHAVIORAL INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 10 May 2022 (3 years ago) |
| Document Number: | P22000039573 |
| FEI/EIN Number | 88-2675133 |
| Address: | 7542 DOWNWINDS LN, LAKE WORTH, FL 33467 |
| Mail Address: | 7542 DOWNWINDS LN, LAKE WORTH, FL 33467 |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992189013 | 2015-07-18 | 2015-07-18 | 4300 SW 13TH ST, GAINESVILLE, FL, 326084006, US | 4300 SW 13TH ST, GAINESVILLE, FL, 326084006, US | |||||||||||||||||
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| Phone | +1 352-374-5600 |
Authorized person
| Name | LACEY HENDERSON |
| Role | LPN |
| Phone | 3862921097 |
Taxonomy
| Taxonomy Code | 311Z00000X - Custodial Care Facility |
| License Number | PN 5213898 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LONGHURST, ALIYAH | Agent | 7542 DOWNWINDS LN, LAKE WORTH, FL 33467 |
| Name | Role | Address |
|---|---|---|
| LONGHURST, ALIYAH | President | 7542 DOWNWINDS LN, LAKE WORTH, FL 33467 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-19 |
| Domestic Profit | 2022-05-10 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
