Entity Name: | NATALIE SARACHAGA-BARATO, PSY.D., LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 16 Oct 2020 (4 years ago) |
Document Number: | L20000328300 |
FEI/EIN Number | 85-3490891 |
Address: | 100 S Dixie Hwy, WEST PALM BEACH, FL, 33401, US |
Mail Address: | 100 S Dixie Hwy, West Palm Beach, FL, 33401, US |
ZIP code: | 33401 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467044602 | 2021-02-09 | 2021-02-09 | 3010 30TH LN, GREENACRES, FL, 334634269, US | 3010 30TH LN, GREENACRES, FL, 334634269, US | |||||||||||||||||||
|
Phone | +1 407-312-8280 |
Authorized person
Name | NATALIE SARACHAGA-BARATO |
Role | OWNER/PSYCHOLOGIST |
Phone | 4073128280 |
Taxonomy
Taxonomy Code | 103TC0700X - Clinical Psychologist |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1780287599 |
State | FL |
Name | Role | Address |
---|---|---|
SARACHAGA-BARATO NATALIE | Agent | 100 S Dixie Hwy, West Palm Beach, FL, 33401 |
Name | Role | Address |
---|---|---|
Sarachaga-Barato Natalie | Manager | 100 South Dixie Highway, West Palm Beach, FL, 33401 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-05-01 | 100 S Dixie Hwy, SUITE 302, WEST PALM BEACH, FL 33401 | No data |
CHANGE OF MAILING ADDRESS | 2023-05-01 | 100 S Dixie Hwy, SUITE 302, WEST PALM BEACH, FL 33401 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2023-05-01 | 100 S Dixie Hwy, 302, West Palm Beach, FL 33401 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-09 |
ANNUAL REPORT | 2023-05-01 |
ANNUAL REPORT | 2022-02-25 |
ANNUAL REPORT | 2021-01-10 |
Florida Limited Liability | 2020-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State