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AMY E. WHITE, LCSW LLC

Company Details

Entity Name: AMY E. WHITE, LCSW LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 18 May 2020 (5 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 07 Mar 2023 (2 years ago)
Document Number: L20000134916
FEI/EIN Number 85-1184068
Address: 7693 Olympia Drive, WEST PALM BEACH, FL 33411
Mail Address: 7693 Olympia Drive, WEST PALM BEACH, FL 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477143188 2021-01-26 2021-01-26 2086 TIGRIS DR, WEST PALM BEACH, FL, 334115762, US 2086 TIGRIS DR, WEST PALM BEACH, FL, 334115762, US

Contacts

Phone +1 561-657-2159

Authorized person

Name AMY WHITE
Role OWNER
Phone 5616572159

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
WHITE, AMY Agent 7693 Olympia Drive, WEST PALM BEACH, FL 33411

President

Name Role Address
WHITE, AMY President 7693 Olympia Drive, WEST PALM BEACH, FL 33411

Events

Event Type Filed Date Value Description
REINSTATEMENT 2023-03-07 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-03-07 7693 Olympia Drive, WEST PALM BEACH, FL 33411 No data
CHANGE OF MAILING ADDRESS 2023-03-07 7693 Olympia Drive, WEST PALM BEACH, FL 33411 No data
REGISTERED AGENT NAME CHANGED 2023-03-07 WHITE, AMY No data
REGISTERED AGENT ADDRESS CHANGED 2023-03-07 7693 Olympia Drive, WEST PALM BEACH, FL 33411 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2021-09-24 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-01
REINSTATEMENT 2023-03-07
Florida Limited Liability 2020-05-18

Date of last update: 15 Jan 2025

Sources: Florida Department of State