Search icon

KRIS FITZGERALD, LMHC, PLLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: KRIS FITZGERALD, LMHC, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 04 Mar 2016 (9 years ago)
Document Number: L16000045520
FEI/EIN Number 81-1747103
Address: 940 Lyon Street, LAKE WALES, FL, 33853, US
Mail Address: P.O. BOX 3657, LAKE WALES, FL, 33859
ZIP code: 33853
City: Lake Wales
County: Polk
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FITZGERALD KRIS T Chief Executive Officer P.O. BOX 3657, LAKE WALES, FL, 33859
FITZGERALD KERISTON N Manager PO BOX 3657, LAKE WALES, FL, 33859
Shepard Mariah N Cons P.O. BOX 3657, LAKE WALES, FL, 33859
WATKINS BRENDA M Agent 940 LYONS STREET, LAKE WALES, FL, 33853

Unique Entity ID

CAGE Code:
7N7J1
UEI Expiration Date:
2018-06-13

Business Information

Activation Date:
2017-06-13
Initial Registration Date:
2016-06-17

Commercial and government entity program

CAGE number:
7N7J1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-06-25
CAGE Expiration:
2027-03-15
SAM Expiration:
2023-03-27

Contact Information

POC:
KRIS FITZGERALD

National Provider Identifier

NPI Number:
1205299161

Authorized Person:

Name:
KRISTEN T FITZGERALD
Role:
LICENSED MENTAL HEALTH COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G16000058511 FITZGERALD COUNSELING SERVICES ACTIVE 2016-06-13 2026-12-31 - PO BOX 3657, LAKE WALES, FL, 33859

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2019-04-01 940 Lyon Street, LAKE WALES, FL 33853 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-29
ANNUAL REPORT 2022-03-08
ANNUAL REPORT 2021-01-17
ANNUAL REPORT 2020-07-19
ANNUAL REPORT 2019-04-01
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-08
Florida Limited Liability 2016-03-04

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State