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PALM BEACH THERAPY CENTER, LLC.

Company Details

Entity Name: PALM BEACH THERAPY CENTER, LLC.
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 19 Jul 2016 (9 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 21 Jul 2017 (8 years ago)
Document Number: L16000135340
FEI/EIN Number 81-3582600
Address: 398 Camino Gardens Blvd., BOCA RATON, FL, 33432, US
Mail Address: 398 Camino Gardens Blvd., BOCA RATON, FL, 33432, US
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619423076 2016-08-26 2016-08-26 3200 N FEDERAL HWY, SUITE 206-14, BOCA RATON, FL, 334316035, US 3200 N FEDERAL HWY, SUITE 206-14, BOCA RATON, FL, 334316035, US

Contacts

Phone +1 718-916-7759

Authorized person

Name DR. LORI LUNDIN-FISH
Role OWNER
Phone 7189167759

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number MT3211
State FL
Is Primary Yes

Agent

Name Role Address
Lundin-Fish Lori A Agent 398 Camino Gardens Blvd., BOCA RATON, FL, 33432

Chief Executive Officer

Name Role Address
LUNDIN-FISH LORI ADR. Chief Executive Officer 398 Camino Gardens Blvd., BOCA RATON, FL, 33432

Manager

Name Role Address
Fish Evan Manager 398 Camino Gardens Blvd., BOCA RATON, FL, 33432

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000013536 BOCA RATON THERAPY AND COUNSELING ACTIVE 2024-01-24 2029-12-31 No data 398 CAMINO GARDENS BLVD., SUITE 108, BOCA RATON, FL, 33432
G22000030704 THIS GIRL ROCKS ACTIVE 2022-03-05 2027-12-31 No data 398 CAMINO GARDENS BLVD., SUITE 108, BOCA RATON, FL, 33433
G21000096845 SOOTHING STONES ACTIVE 2021-07-24 2026-12-31 No data 398 CAMINO GARDENS BLVD., SUITE 108, BOCA RATON, FL, 33432

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-02-27 398 Camino Gardens Blvd., Suite 108, BOCA RATON, FL 33432 No data
CHANGE OF MAILING ADDRESS 2021-02-27 398 Camino Gardens Blvd., Suite 108, BOCA RATON, FL 33432 No data
REGISTERED AGENT ADDRESS CHANGED 2021-02-27 398 Camino Gardens Blvd., Suite 108, BOCA RATON, FL 33432 No data
REGISTERED AGENT NAME CHANGED 2020-02-15 Lundin-Fish, Lori A No data
LC STMNT OF RA/RO CHG 2017-07-21 No data No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-17
ANNUAL REPORT 2023-01-21
ANNUAL REPORT 2022-04-08
ANNUAL REPORT 2021-02-27
ANNUAL REPORT 2020-02-15
ANNUAL REPORT 2019-03-02
ANNUAL REPORT 2018-03-14
CORLCRACHG 2017-07-21
ANNUAL REPORT 2017-01-08

Date of last update: 01 Feb 2025

Sources: Florida Department of State