| Entity Name: | CLAG PSYCHOLOGICAL CENTER & CONSULTANTS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Apr 2018 (7 years ago) |
| Document Number: | L18000088961 |
| FEI/EIN Number | 82-5117570 |
| Address: | 3657 Hollisten Cir, Melbourne, FL, 32940, US |
| Mail Address: | 3657 Hollisten Cir, Melbourne, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811641715 | 2022-02-09 | 2022-02-09 | 12260 GLENMORE DR, CORAL SPRINGS, FL, 330717878, US | 12260 GLENMORE DR, CORAL SPRINGS, FL, 330717878, US | |||||||||||
|
|||||||||||||||
| Name | VIMARY RODRIGUEZ |
| Role | CEO |
| Phone | 7875937082 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RODRIGUEZ VIMARY | Agent | 3657 Hollisten Cir, Melbourne, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| Rodriguez Vimary | Chief Executive Officer | 3657 Hollisten Cir, Melbourne, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-31 | 3657 Hollisten Cir, Melbourne, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-31 | 3657 Hollisten Cir, Melbourne, FL 32940 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-31 | 3657 Hollisten Cir, Melbourne, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-27 |
| AMENDED ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2023-03-31 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-08 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-04-14 |
| Florida Limited Liability | 2018-04-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
