| Entity Name: | PENINSULA PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 23 Jun 2023 (2 years ago) |
| Document Number: | L23000302872 |
| FEI/EIN Number | 93-2038767 |
| Address: | 2234 NORTH FEDERAL HWY, PMB #3011, BOCA RATON, FL 33431 |
| Mail Address: | 2234 NORTH FEDERAL HWY, PMB #3011, BOCA RATON, FL 33431 |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841971181 | 2023-07-28 | 2023-07-28 | 2234 N FEDERAL HWY, PMB #3011, BOCA RATON, FL, 33431, US | 550 SE 6TH AVE, SUITE 200, DELRAY BEACH, FL, 33483, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 571-236-3688 |
Authorized person
| Name | GARY K LEVENSTON |
| Role | MANAGER |
| Phone | 5712363688 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEVENSTON, GARY K | Agent | 2234 NORTH FEDERAL HWY PMB, BOCA RATON, FL 33431 |
| Name | Role | Address |
|---|---|---|
| LEVENSTON, GARY K | Manager | 2234 NORTH FEDERAL HWY PMB, BOCA RATON, FL 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-07-12 | 2234 NORTH FEDERAL HWY, PMB #3011, BOCA RATON, FL 33431 | No data |
| CHANGE OF MAILING ADDRESS | 2023-07-12 | 2234 NORTH FEDERAL HWY, PMB #3011, BOCA RATON, FL 33431 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-06 |
| Florida Limited Liability | 2023-06-23 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
