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PHOENIX RISING PSYCHOTHERAPY CENTER PLLC - Florida Company Profile

Company Details

Entity Name: PHOENIX RISING PSYCHOTHERAPY CENTER PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

PHOENIX RISING PSYCHOTHERAPY CENTER PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 13 Nov 2019 (5 years ago)
Document Number: L19000282416
FEI/EIN Number 84-3661786

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 980 North Federal Highway, Suite 110, Boca Raton, FL, 33432, US
Address: 980 NORTH FEDERAL HWY, Boca Raton, FL, 33432, US
ZIP code: 33432
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1760029623 2019-12-10 2020-06-11 4060 ROYAL PALM BEACH BLVD, WEST PALM BEACH, FL, 334119165, US 816 W CANAL ST S, BELLE GLADE, FL, 334302942, US

Contacts

Phone +1 561-502-1500

Authorized person

Name RAQUEL LUMIA
Role OWNER
Phone 5615021500

Taxonomy

Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary No
Taxonomy Code 261QD1600X - Developmental Disabilities Clinic/Center
Is Primary Yes

Key Officers & Management

Name Role Address
Lumia Raquel C Manager 980 North Federal Highway, Boca Raton, FL, 33432
Poillucci Richard Jr. Officer 980 NORTH FEDERAL HWY, Boca Raton, FL, 33432
LUMIA RAQUEL C Agent 7109 NW 78 Ave, Tamarac, FL, 33321

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G20000032278 RAQUEL LUMIA L.M.H.C ACTIVE 2020-03-14 2025-12-31 - 4060 ROYAL PALM BEACH BLVD.,, WEST PALM BEACH, FL, 33411-9103

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-04-29 980 NORTH FEDERAL HWY, SUITE 110, Boca Raton, FL 33432 -
REGISTERED AGENT ADDRESS CHANGED 2024-04-29 7109 NW 78 Ave, Tamarac, FL 33321 -
CHANGE OF MAILING ADDRESS 2022-04-29 980 NORTH FEDERAL HWY, SUITE 110, Boca Raton, FL 33432 -
REGISTERED AGENT NAME CHANGED 2021-04-08 LUMIA, RAQUEL CHARLES -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-04-08
AMENDED ANNUAL REPORT 2020-12-18
ANNUAL REPORT 2020-03-14
Florida Limited Liability 2019-11-13

Date of last update: 02 Apr 2025

Sources: Florida Department of State