| Entity Name: | DEEPLY ROOTED PSYCHOTHERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Apr 2020 (5 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 17 Aug 2020 (4 years ago) |
| Document Number: | L20000104259 |
| FEI/EIN Number | 85-0760978 |
| Address: | 860 US 1, North Palm Beach, FL, 33408, US |
| Mail Address: | 860 US 1, North Palm Beach, FL, 33408, US |
| ZIP code: | 33408 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801593348 | 2023-02-15 | 2024-09-15 | 860 US 1 STE 206, NORTH PALM BEACH, FL, 334083865, US | 860 US 1 STE 206, NORTH PALM BEACH, FL, 334083865, US | |||||||||||||||||||||
|
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| Phone | +1 321-345-7339 |
Authorized person
| Name | MRS. ERIN MCKINNEY |
| Role | PSYCHOTHERAPIST/OWNER |
| Phone | 3213457339 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NA |
| Number | NA |
| Name | Role | Address |
|---|---|---|
| MCKINNEY ERIN | Agent | 860 US 1, North Palm Beach, FL, 33408 |
| Name | Role | Address |
|---|---|---|
| MCKINNEY ERIN | Manager | 860 US 1, North Palm Beach, FL, 33408 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-03-22 | 860 US 1, Suite 206, North Palm Beach, FL 33408 | No data |
| CHANGE OF MAILING ADDRESS | 2023-03-22 | 860 US 1, Suite 206, North Palm Beach, FL 33408 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-22 | 860 US 1, Suite 206, North Palm Beach, FL 33408 | No data |
| LC AMENDMENT | 2020-08-17 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-01-26 |
| ANNUAL REPORT | 2021-03-14 |
| LC Amendment | 2020-08-17 |
| Florida Limited Liability | 2020-04-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
