| Entity Name: | PIPER COUNSELING & PSYCHIATRIC SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 01 Sep 2010 (14 years ago) |
| Document Number: | L10000092365 |
| FEI/EIN Number | 451516750 |
| Address: | 1639 CAPE CORAL PKWY, STE 211, CAPE CORAL, FL, 33904 |
| Mail Address: | 1101 NE 15TH STREET, CAPE CORAL, FL, 33909 |
| ZIP code: | 33904 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043654791 | 2013-04-24 | 2013-04-24 | 1101 NE 15TH ST, CAPE CORAL, FL, 339091414, US | 1639 CAPE CORAL PKWY E, SUITE 211, CAPE CORAL, FL, 339049651, US | |||||||||||||||||||||||
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| Phone | +1 239-699-8622 |
Authorized person
| Name | MISS TARA P HRUBY |
| Role | LICENSED MENTAL HEALTH COUNSELOR |
| Phone | 2396998622 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH8266 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 271633359 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HRUBY TARA P | Agent | 1101 NE 15TH STREET, CAPE CORAL, FL, 33909 |
| Name | Role | Address |
|---|---|---|
| HRUBY TARA P | Manager | 1101 NE 15TH STREET, CAPE CORAL, FL, 33909 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-01-05 | HRUBY, TARA P LMHC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-01-11 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-29 |
| ANNUAL REPORT | 2016-01-16 |
| ANNUAL REPORT | 2015-02-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
