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INTEGRATIVE PSYCHOLOGY, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
Keating, PsyD Caryl ADr. Agent 604 NE Venezia Lane, Boca Raton, FL, 33487

Owner

Name Role Address
KEATING CARYL ADR. Owner 616 NE Francesca LN, Boca Raton, FL, 33487

Events

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

Documents

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