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CORYNNE CARRANZA, LCSW PLLC

Company Details

Entity Name: CORYNNE CARRANZA, LCSW PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Aug 2017 (8 years ago)
Document Number: L17000165578
FEI/EIN Number 82-2509811
Address: 5645 CORAL RIDGE DR, 190, CORAL SPRINGS, FL 33076
Mail Address: 5645 CORAL RIDGE DR, 190, CORAL SPRINGS, FL 33076
ZIP code: 33076
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1164918462 2018-07-10 2018-07-10 5645 CORAL RIDGE DR # 190, CORAL SPRINGS, FL, 330763124, US 4400 N FEDERAL HWY STE 210, BOCA RATON, FL, 334315195, US

Contacts

Phone +1 754-264-5449

Authorized person

Name CORYNNE CARRANZA
Role OWNER
Phone 7542645449

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
CARRANZA, CORYNNE Agent 5645 CORAL RIDGE DR, 190, CORAL SPRINGS, FL 33076

President

Name Role Address
CARRANZA, CORYNNE President 5645 CORAL RIDGE DR #190, CORAL SPRINGS, FL 33076

Documents

Name Date
ANNUAL REPORT 2024-02-23
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-01-08
ANNUAL REPORT 2020-03-19
ANNUAL REPORT 2019-03-28
ANNUAL REPORT 2018-03-16
Florida Limited Liability 2017-08-03

Date of last update: 18 Feb 2025

Sources: Florida Department of State