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MI LUZ BEHAVIORAL WELLNESS INC - Florida Company Profile

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Company Details

Entity Name: MI LUZ BEHAVIORAL WELLNESS INC
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 25 Jul 2024 (a year ago)
Document Number: P24000049260
FEI/EIN Number 99-4216880
Address: 12241 SW 114TH TERR, MIAMI, FL, 33186
Mail Address: 12241 SW 114TH TERR, MIAMI, FL, 33186
ZIP code: 33186
City: Miami
County: Miami-Dade
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
L & B THERAPY LLC Agent 12241 SW 114TH TERR, MIAMI, FL, 33186
BOLIVAR LUZ M President 12241 SW 114TH TERR, MIAMI, FL, 33186

National Provider Identifier

NPI Number:
1720807035
Certification Date:
2024-10-04

Authorized Person:

Name:
LUZ BOLIVAR
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Documents

Name Date
Domestic Profit 2024-07-25

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Date of last update: 01 Aug 2025

Sources: Florida Department of State