| Entity Name: | THE CENTER FOR COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 10 Jul 2018 (7 years ago) |
| Document Number: | L18000166720 |
| FEI/EIN Number | 83-1278589 |
| Mail Address: | 931 VILLAGE BOULEVARD, SUITE 905, BOX 144, WEST PALM BEACH, FL 33409 |
| Address: | 931 VILLAGE BOULEVARD,, SUITE 905, BOX 144, WEST PALM BEACH, FL 33409 |
| ZIP code: | 33409 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750975215 | 2021-02-25 | 2021-02-25 | 931 VILLAGE BLVD STE 905-144, WEST PALM BEACH, FL, 334091803, US | 2561 VILLAGE BLVD, WEST PALM BEACH, FL, 334097382, US | |||||||||||||
|
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| Phone | +1 561-501-8905 |
Authorized person
| Name | DR. HOLLY GOLLER |
| Role | EXECUTIVE DIRECTOR |
| Phone | 5615018905 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CRUMPLER, NICHOLS, AND ASSOCIATES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| GOLLER, HOLLY | Authorized Member | 710 Sanctuary Cove Drive, North Palm Beach, FL 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2025-01-17 | Crumpler Nichols and Associates Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2025-01-17 | 3946 Lakeside Lane, Palm Bay, FL 32909 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 500 South Australian Ave., Suite 600, WEST PALM BEACH, FL 33401 | No data |
| CHANGE OF MAILING ADDRESS | 2018-08-17 | 931 VILLAGE BOULEVARD,, SUITE 905, BOX 144, WEST PALM BEACH, FL 33409 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-08-15 | 931 VILLAGE BOULEVARD,, SUITE 905, BOX 144, WEST PALM BEACH, FL 33409 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-17 |
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-02-20 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-31 |
| ANNUAL REPORT | 2019-03-28 |
| Florida Limited Liability | 2018-07-10 |
Date of last update: 17 Feb 2025
Sources: Florida Department of State
