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 |
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 | |||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Lundin-Fish Lori A | Agent | 398 Camino Gardens Blvd., BOCA RATON, FL, 33432 |
Name | Role | Address |
---|---|---|
LUNDIN-FISH LORI ADR. | Chief Executive Officer | 398 Camino Gardens Blvd., BOCA RATON, FL, 33432 |
Name | Role | Address |
---|---|---|
Fish Evan | Manager | 398 Camino Gardens Blvd., BOCA RATON, FL, 33432 |
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 |
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 |
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