| Entity Name: | SSM BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 05 Nov 2024 (3 months ago) |
| Document Number: | P24000068539 |
| Address: | 600 NW 183RD STREET, SUITE 103, MIAMI GARDENS, FL 33169 |
| Mail Address: | 600 NW 183RD STREET, SUITE 103, MIAMI GARDENS, FL 33169 |
| ZIP code: | 33169 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730846593 | 2021-11-29 | 2024-07-11 | 39200 HOOKER HWY, BELLE GLADE, FL, 334305368, US | 39200 HOOKER HWY, BELLE GLADE, FL, 334305368, US | |||||||||||||
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| Phone | +1 561-996-6571 |
Authorized person
| Name | MARGO S SEYMOUR |
| Role | OWNER |
| Phone | 8622176133 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SEYMOUR, MARGO | Agent | 600 NW 183RD STREET, SUITE 103, MIAMI GARDENS, FL 33169 |
| Name | Role | Address |
|---|---|---|
| SEYMOUR, MARGO | President | 2524 PRIMROSE PLACE, OAKLAND PARK, FL 33309 |
| Name | Date |
|---|---|
| Domestic Profit | 2024-11-05 |
Date of last update: 07 Feb 2025
Sources: Florida Department of State
