| Entity Name: | JAYE L. ANDERSON, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 15 Jan 2016 (9 years ago) |
| Last Event: | LC DISSOCIATION MEM |
| Event Date Filed: | 08 Feb 2016 (9 years ago) |
| Document Number: | L16000010717 |
| FEI/EIN Number | 81-1113652 |
| Address: | 2101 Vista Parkway, SUITE 254, West Palm Beach, FL 33411 |
| Mail Address: | 2101 Vista ParkWay, Suite 254, WEST PALM BEACH, FL 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043759178 | 2017-02-22 | 2019-02-19 | 2101 VISTA PKWY STE 254, WEST PALM BEACH, FL, 334112706, US | 2101 VISTA PKWY STE 254, WEST PALM BEACH, FL, 33411, US | |||||||||||||||||||
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| Phone | +1 561-308-9818 |
| Fax | 5613546035 |
Authorized person
| Name | JAYE L ANDERSON |
| Role | OWNER |
| Phone | 5613089818 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW11280 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| ANDERSON, JAYE L | Agent | 2101 Vista Parkway, SUITE 254, West Palm Beach, FL 33411 |
| Name | Role | Address |
|---|---|---|
| ANDERSON, JAYE L | Manager | 2101 Vista Parkway, SUITE 254 West Palm Beach, FL 33411 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000059075 | A WOMAN'S PLACE COUNSELING SERVICES | EXPIRED | 2018-05-15 | 2023-12-31 | No data | 2101 VISTA PARKWAY SUITE 304, WEST PALM BEACH, FL, 33411 |
| G18000013067 | A WOMAN'S PLACE FOR COUNSELING | EXPIRED | 2018-01-24 | 2023-12-31 | No data | 2101 VISTA PARKWAY, SUITE 304, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-06 | 2101 Vista Parkway, SUITE 254, West Palm Beach, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-06 | 2101 Vista Parkway, SUITE 254, West Palm Beach, FL 33411 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-06 | 2101 Vista Parkway, SUITE 254, West Palm Beach, FL 33411 | No data |
| LC DISSOCIATION MEM | 2016-02-08 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-04-06 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-04-30 |
| CORLCDSMEM | 2016-02-08 |
| Florida Limited Liability | 2016-01-15 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
