Entity Name: | INTEGRATIVE PSYCHOLOGY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 Feb 2011 (14 years ago) |
Document Number: | L11000022893 |
FEI/EIN Number | 275436080 |
Address: | 616 NE Francesca LN, Boca Raton, FL, 33487, US |
Mail Address: | 616 NE Francesca LN, Boca Raton, FL, 33487, US |
ZIP code: | 33487 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1215220900 | 2011-05-27 | 2023-01-05 | 550 SE 6TH AVE # 200K, DELRAY BEACH, FL, 334835306, US | 604 NE VENEZIA LN, BOCA RATON, FL, 334875213, US | |||||||||||||||||||
|
Phone | +1 561-859-6767 |
Fax | 5616378210 |
Authorized person
Name | DR. CARYL A. KEATING |
Role | LICENSED CLINICAL PSYCHOLOGIST |
Phone | 5618596767 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
License Number | PY8234 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Keating, PsyD Caryl ADr. | Agent | 604 NE Venezia Lane, Boca Raton, FL, 33487 |
Name | Role | Address |
---|---|---|
KEATING CARYL ADR. | Owner | 616 NE Francesca LN, Boca Raton, FL, 33487 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-10-17 | 616 NE Francesca LN, Boca Raton, FL 33487 | No data |
CHANGE OF MAILING ADDRESS | 2024-10-17 | 616 NE Francesca LN, Boca Raton, FL 33487 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-03 | 604 NE Venezia Lane, Boca Raton, FL 33487 | No data |
REGISTERED AGENT NAME CHANGED | 2018-03-13 | Keating, PsyD, Caryl Ann, Dr. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-03 |
ANNUAL REPORT | 2023-02-27 |
ANNUAL REPORT | 2022-01-30 |
AMENDED ANNUAL REPORT | 2021-04-08 |
ANNUAL REPORT | 2021-02-08 |
ANNUAL REPORT | 2020-01-17 |
ANNUAL REPORT | 2019-04-05 |
ANNUAL REPORT | 2018-03-13 |
ANNUAL REPORT | 2017-01-11 |
ANNUAL REPORT | 2016-01-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State