| Entity Name: | SIENNA PSYCHOLOGY OF THE PALM BEACHES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Jan 2019 (6 years ago) |
| Document Number: | L19000010230 |
| FEI/EIN Number | 83-3610806 |
| Address: | 4362 Northlake Blvd, Suite 200, Palm Beach Gardens, FL, 33410, US |
| Mail Address: | 4455 Military Trail, Jupiter, FL, 33458, US |
| ZIP code: | 33410 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205667946 | 2024-08-13 | 2024-08-13 | 4645 MEDITERRANEAN CIR, PALM BEACH GARDENS, FL, 334181002, US | 4362 NORTHLAKE BLVD STE 200, PALM BEACH GARDENS, FL, 334106269, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 561-710-6008 |
Authorized person
| Name | KRISTIE DEBLASIO |
| Role | OWNER/REGISTERED AGENT |
| Phone | 5617106008 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DEBLASIO KRISTIE L | Agent | 4455 Military Trail, Jupiter, FL, 33458 |
| Name | Role | Address |
|---|---|---|
| DEBLASIO KRISTIE L | Manager | 4362 NORTHLAKE BLVD, STE 200, PALM BEACH GARDENS, FL, 33410 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-23 | 4362 Northlake Blvd, Suite 200, Palm Beach Gardens, FL 33410 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-17 | 4362 Northlake Blvd, Suite 200, Palm Beach Gardens, FL 33410 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-25 | 4455 Military Trail, Suite 203, Jupiter, FL 33458 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-16 |
| ANNUAL REPORT | 2023-01-17 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-03-24 |
| Florida Limited Liability | 2019-01-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
