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JENNIFER ACKRISH, PSY.D., LLC

Company Details

Entity Name: JENNIFER ACKRISH, PSY.D., LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 31 Dec 2014 (10 years ago)
Document Number: L15000000088
FEI/EIN Number 47-2682805
Address: 11295 NW 71 Court, Parkland, FL 33076
Mail Address: 11295 NW 71 Court, Parkland, FL 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013305499 2015-01-07 2021-04-21 11295 NW 71ST CT, PARKLAND, FL, 330763851, US 11295 NW 71ST CT, PARKLAND, FL, 330763851, US

Contacts

Phone +1 561-299-0483
Fax 9545661186

Authorized person

Name DR. JENNIFER ACKRISH
Role LICENSED PSYCHOLOGIST
Phone 5612990483

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY9129
State FL
Is Primary Yes

Agent

Name Role Address
ACKRISH, JENNIFER E Agent 11295 NW 71 Court, Parkland, FL 33076

Authorized Member

Name Role Address
ACKRISH, JENNIFER E Authorized Member 11295 NW 71 Court, Parkland, FL 33076

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-03-02 11295 NW 71 Court, Parkland, FL 33076 No data
CHANGE OF MAILING ADDRESS 2022-03-02 11295 NW 71 Court, Parkland, FL 33076 No data
REGISTERED AGENT ADDRESS CHANGED 2022-03-02 11295 NW 71 Court, Parkland, FL 33076 No data

Documents

Name Date
ANNUAL REPORT 2024-03-04
ANNUAL REPORT 2023-03-02
ANNUAL REPORT 2022-03-02
ANNUAL REPORT 2021-03-10
ANNUAL REPORT 2020-03-02
ANNUAL REPORT 2019-03-03
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-05-15
ANNUAL REPORT 2016-03-07
Florida Limited Liability 2014-12-31

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
4486657706 2020-05-01 0455 PPP 1033 NE 17TH WAY UNIT 1004, FORT LAUDERDALE, FL, 33304
Loan Status Date 2021-06-09
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 9375
Loan Approval Amount (current) 9375
Undisbursed Amount 0
Franchise Name -
Lender Location ID 12096
Servicing Lender Name Wells Fargo Bank, National Association
Servicing Lender Address 101 N Philips Ave, SIOUX FALLS, SD, 57104-6738
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address FORT LAUDERDALE, BROWARD, FL, 33304-0001
Project Congressional District FL-23
Number of Employees 2
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Limited Liability Company(LLC)
Originating Lender ID 12096
Originating Lender Name Wells Fargo Bank, National Association
Originating Lender Address SIOUX FALLS, SD
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 9470.03
Forgiveness Paid Date 2021-05-13

Date of last update: 20 Feb 2025

Sources: Florida Department of State