| Entity Name: | PALM BEACH CHILDREN'S THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 23 Jan 2014 (11 years ago) |
| Date of dissolution: | 03 Jul 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 03 Jul 2023 (2 years ago) |
| Document Number: | L14000012408 |
| FEI/EIN Number | 46-4681895 |
| Address: | 129 Summa Street, WEST PALM BEACH, FL 33405 |
| Mail Address: | 129 Summa Street, WEST PALM BEACH, FL 33405 |
| ZIP code: | 33405 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205380797 | 2016-08-12 | 2016-08-12 | 156 GREGORY PL, WEST PALM BEACH, FL, 334055028, US | 156 GREGORY PL, WEST PALM BEACH, FL, 334055028, US | |||||||||||||||||||||||||
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| Phone | +1 561-906-8257 |
| Fax | 5614200228 |
Authorized person
| Name | MRS. LESLEY HULETT NEHEMIAS |
| Role | OCCUPATIONAL THERAPIST |
| Phone | 5619068257 |
Taxonomy
| Taxonomy Code | 225X00000X - Occupational Therapist |
| License Number | OT14484 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 003185300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| NEHEMIAS, LESLEY H | Agent | 129 Summa Street, WEST PALM BEACH, FL 33405 |
| Name | Role | Address |
|---|---|---|
| NEHEMIAS, LESLEY H | Manager | 129 Summa Street, WEST PALM BEACH, FL 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-03 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-09 | 129 Summa Street, WEST PALM BEACH, FL 33405 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-09 | 129 Summa Street, WEST PALM BEACH, FL 33405 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-09 | 129 Summa Street, WEST PALM BEACH, FL 33405 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-07-03 |
| ANNUAL REPORT | 2023-01-05 |
| ANNUAL REPORT | 2022-01-06 |
| ANNUAL REPORT | 2021-01-09 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-04 |
| ANNUAL REPORT | 2018-01-12 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
