| Entity Name: | JUDITH CARNEY PSYD LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 11 Oct 2017 (7 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 15 Jun 2020 (5 years ago) |
| Document Number: | L17000210442 |
| FEI/EIN Number | 82-3073594 |
| Address: | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 |
| Mail Address: | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245744507 | 2017-11-24 | 2017-11-24 | 245 SW NORTH WAKEFIELD CIR, PORT SAINT LUCIE, FL, 349535443, US | 245 SW NORTH WAKEFIELD CIR, PORT SAINT LUCIE, FL, 349535443, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 561-577-2352 |
Authorized person
| Name | DR. JUDITH HELENE CARNEY |
| Role | OWNER |
| Phone | 5615772352 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9240 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARNEY, JUDITH | Agent | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 |
| Name | Role | Address |
|---|---|---|
| CARNEY, JUDITH | Authorized Member | 2101 VISTA PRKWY #290, W PALM BEACH, FL 33410 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000045862 | PALM POTENTIALS COUNSELING & ASSESSMENT | ACTIVE | 2019-04-11 | 2029-12-31 | No data | 2101 VISTA PARKWAY, SUITE 290, WEST PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-06-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-09 | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-09 | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-09 | 2101 VISTA PKWY STE 290, WEST PALM BEACH, FL 33411 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-04-28 |
| ANNUAL REPORT | 2021-04-12 |
| Amendment | 2020-06-15 |
| ANNUAL REPORT | 2020-02-15 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-02-15 |
| Florida Limited Liability | 2017-10-11 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
