| Entity Name: | FLORIDA PSYCHOTHERAPY GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Dec 2022 (2 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 29 Jan 2024 (a year ago) |
| Document Number: | L22000516340 |
| FEI/EIN Number | 92-1419058 |
| Address: | 15800 PINES BLVD, 332, PEMBROKE PINES, FL, 33027, US |
| Mail Address: | 15800 PINES BLVD, 332, PEMBROKE PINES, FL, 33027, US |
| ZIP code: | 33027 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639881592 | 2022-12-21 | 2022-12-21 | 814 SW 158TH LN, SUNRISE, FL, 333262118, US | 15800 PINES BLVD STE 332, PEMBROKE PINES, FL, 330271212, US | |||||||||||||
|
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| Phone | +1 954-245-7609 |
Authorized person
| Name | ALEJANDRA SAAVEDRA |
| Role | CLINICA MANAGER |
| Phone | 9542457609 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA ALEJANDRA | Agent | 15800 PINES BLVD, PEMBROKE PINES, FL, 33027 |
| Name | Role | Address |
|---|---|---|
| SAAVEDRA ALEJANDRA | Manager | 814 SW 158TH LANE, SUNRISE, FL, 33326 |
| RABINOWITZ CARLA | Manager | 15800 PINES BLVD STE 332, PEMBROKE PINES, FL, 33027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2024-01-29 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-29 | SAAVEDRA, ALEJANDRA | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| LC NAME CHANGE | 2022-12-15 | FLORIDA PSYCHOTHERAPY GROUP, LLC | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-01-29 |
| LC Name Change | 2022-12-15 |
| Florida Limited Liability | 2022-12-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
