| Entity Name: | EXPERT PSYCHOLOGICAL ASSOCIATES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 May 2017 (8 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 09 Apr 2019 (6 years ago) |
| Document Number: | L17000114243 |
| FEI/EIN Number | 82-1700129 |
| Address: | 447 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983 |
| Mail Address: | 447 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983 |
| ZIP code: | 34983 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053825133 | 2017-11-28 | 2018-03-17 | 447 NW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL, 349838731, US | 447 NW PRIMA VISTA BLVD, PORT SAINT LUCIE, FL, 349838731, US | |||||||||||||||||||||
|
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| Phone | +1 772-249-2593 |
Authorized person
| Name | DR. GEORGE ZAKY |
| Role | PRESIDENT |
| Phone | 7722492593 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Zaky, George, Dr. | Agent | 447 NW Prima Vista Blvd, Port Saint Lucie, FL 34983 |
| Name | Role | Address |
|---|---|---|
| ZAKY, GEORGE | Manager | 447 NW PRIMA VISTA BLVD., #108, PORT ST LUCIE, F 34983 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2019-04-09 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-09 | 447 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-09 | 447 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-09 | Zaky, George, Dr. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-09 | 447 NW Prima Vista Blvd, Port Saint Lucie, FL 34983 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-08 |
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-01-22 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-01-16 |
| REINSTATEMENT | 2019-04-09 |
| Florida Limited Liability | 2017-05-23 |
Date of last update: 18 Feb 2025
Sources: Florida Department of State
