| Entity Name: | CARRIE CONVERS, LMHC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2017 (8 years ago) |
| Document Number: | L17000064375 |
| FEI/EIN Number | 82-0967441 |
| Address: | 7000 W. Palmetto Park Road, Boca Raton, FL, 33433, US |
| Mail Address: | 7000 W. Palmetto Park Road, Boca Raton, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962100511 | 2023-02-22 | 2023-02-22 | 7000 W PALMETTO PARK RD STE 210, BOCA RATON, FL, 334333430, US | 7000 W PALMETTO PARK RD STE 210, BOCA RATON, FL, 334333430, US | |||||||||||||||||
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| Phone | +1 561-270-5928 |
Authorized person
| Name | CARRIE CONVERS |
| Role | OWNER |
| Phone | 5612705928 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CONVERS CARRIE A | Agent | 1523 Arezzo Cir, Boynton Beach, FL, 33436 |
| Name | Role | Address |
|---|---|---|
| Convers Carrie A | Manager | 1523 Arezzo Cir, Boynton Beach, FL, 33436 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000139733 | PRISMATIC COUNSELING AND WELLNESS | ACTIVE | 2022-11-09 | 2027-12-31 | No data | 3800 MAX PLACE, APT #103, BOYNTON BEACH, FL, 33436 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-24 | 1523 Arezzo Cir, Boynton Beach, FL 33436 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-08 | 7000 W. Palmetto Park Road, Suite 210, Boca Raton, FL 33433 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-08 | 7000 W. Palmetto Park Road, Suite 210, Boca Raton, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-24 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-02-08 |
| ANNUAL REPORT | 2020-01-13 |
| ANNUAL REPORT | 2019-06-13 |
| ANNUAL REPORT | 2018-02-28 |
| Florida Limited Liability | 2017-03-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
