| Entity Name: | MI LUZ BEHAVIORAL WELLNESS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 25 Jul 2024 (7 months ago) |
| Document Number: | P24000049260 |
| Address: | 12241 SW 114TH TERR, MIAMI, FL 33186 |
| Mail Address: | 12241 SW 114TH TERR, MIAMI, FL 33186 |
| ZIP code: | 33186 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720807035 | 2024-10-04 | 2024-10-04 | 12241 SW 114TH TER, MIAMI, FL, 331865003, US | 12241 SW 114TH TER, MIAMI, FL, 331865003, US | |||||||||||||
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| Phone | +1 305-431-6782 |
Authorized person
| Name | LUZ BOLIVAR |
| Role | PRESIDENT |
| Phone | 3054316782 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role |
|---|---|
| L & B THERAPY LLC | Agent |
| Name | Role | Address |
|---|---|---|
| BOLIVAR, LUZ M | President | 12241 SW 114TH TERR, MIAMI, FL 33186 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-07-25 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
