| Entity Name: | BROWARD THERAPISTS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Oct 2018 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 31 Mar 2023 (2 years ago) |
| Document Number: | L18000252801 |
| FEI/EIN Number | 83-2557011 |
| Address: | 7520 NW 5th Street, plantation, FL, 33317, US |
| Mail Address: | 7520 NW 5th Street, plantation, FL, 33317, US |
| ZIP code: | 33317 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386101517 | 2019-02-24 | 2019-02-28 | 4900 S UNIVERSITY DR STE 207D-8, DAVIE, FL, 333283808, US | 4900 S UNIVERSITY DR STE 207D-8, DAVIE, FL, 333283808, US | |||||||||||||||||
|
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| Phone | +1 954-399-2431 |
Authorized person
| Name | JUSTIN JOHANSEN |
| Role | AUTHORIZED MEMBER |
| Phone | 9543992431 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| RIVERA YARITZA | Agent | 7520 NW 5th Street, plantation, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| JOHANSEN JUSTIN | Authorized Member | 7520 NW 5th Street, plantation, FL, 33317 |
| RIVERA YARITZA | Authorized Member | 7520 NW 5TH STREET, PLANTATION, FL, 33317 |
| Name | Role | Address |
|---|---|---|
| RIVERA YARITZA | Manager | 7520 NW 5TH STREET, PLANTATION, FL, 33317 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000029843 | PALM BEACH BEHAVIORAL HEALTH SERVICES | ACTIVE | 2022-03-08 | 2027-12-31 | No data | 8895 N MILITARY TRAIL STE C-203, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2023-03-31 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2023-03-31 | RIVERA, YARITZA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-29 | 7520 NW 5th Street, Ste 203, plantation, FL 33317 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-29 | 7520 NW 5th Street, Ste 203, plantation, FL 33317 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-29 | 7520 NW 5th Street, Ste 203, plantation, FL 33317 | No data |
| LC AMENDMENT | 2021-06-07 | No data | No data |
| LC AMENDMENT | 2020-04-07 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-25 |
| LC Amendment | 2023-03-31 |
| ANNUAL REPORT | 2023-01-29 |
| Reg. Agent Resignation | 2022-11-15 |
| ANNUAL REPORT | 2022-03-08 |
| LC Amendment | 2021-06-07 |
| ANNUAL REPORT | 2021-02-08 |
| LC Amendment | 2020-04-07 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
