| Entity Name: | MINDY MCGUIRE, PHD, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Oct 2018 (6 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 22 Jul 2019 (6 years ago) |
| Document Number: | L18000233447 |
| FEI/EIN Number | 83-2180085 |
| Address: | 104 SW 11 Ave, Delray Beach, FL, 33444, US |
| Mail Address: | 6392 BELLAMALFI STREET, BOCA RATON, FL, 33496, US |
| ZIP code: | 33444 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194345090 | 2020-04-21 | 2020-04-21 | 6392 BELLAMALFI ST, BOCA RATON, FL, 334963277, US | 3200 N FEDERAL HWY STE 206-11, BOCA RATON, FL, 334316049, US | |||||||||||||||||||||
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| Phone | +1 561-859-4568 |
Authorized person
| Name | DR. MINDY MCGUIRE |
| Role | OWNER |
| Phone | 5618594568 |
Taxonomy
| 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 |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CHIKOVSKY FRED | Agent | 2300 NW CORPORATE BLVD., BOCA RATON, FL, 33431 |
| Name | Role | Address |
|---|---|---|
| MCGUIRE MINDY | Authorized Member | 6392 BELLAMALFI STREET, BOCA RATON, FL, 33496 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-03-15 | 104 SW 11 Ave, Delray Beach, FL 33444 | No data |
| LC AMENDMENT AND NAME CHANGE | 2019-07-22 | MINDY MCGUIRE, PHD, LCSW, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| ANNUAL REPORT | 2023-07-11 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-03-15 |
| ANNUAL REPORT | 2020-01-27 |
| LC Amendment and Name Change | 2019-07-22 |
| ANNUAL REPORT | 2019-02-16 |
| Florida Limited Liability | 2018-10-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
