| Entity Name: | PROFESSIONAL TRAINING ASSOCIATION CORPORATION |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 18 Sep 2000 (25 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | N00000006241 |
| FEI/EIN Number |
651053847
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 141 NW 20TH ST, STE F-7, BOCA RATON, FL, 33431, US |
| Mail Address: | 141 NW 20TH ST, STE F-7, BOCA RATON, FL, 33431, US |
| ZIP code: | 33431 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164663571 | 2009-03-13 | 2009-03-13 | 8358 W OAKLAND PARK BLVD, SUITE 302, SUNRISE, FL, 333517319, US | 8358 W OAKLAND PARK BLVD, SUITE 302, SUNRISE, FL, 333517319, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 954-816-7151 |
Authorized person
| Name | MISS JANINA GIRON |
| Role | DIRECTOR |
| Phone | 9548167151 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | BY7137 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | APPLIED FOR |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Stein Lee S | Director | 321 NORTHLAKE BLVD, NORTH PALM BEACH, FL, 33408 |
| MAHLER DAVID | Director | 321 NOTHLAKE BLVD, NORTH PALM BEACH, FL, 33408 |
| STEIN LEE | Agent | 141 NW 20TH ST, BOCA RATON, FL, 33431 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| REGISTERED AGENT ADDRESS CHANGED | 2017-04-30 | 141 NW 20TH ST, STE F-7, BOCA RATON, FL 33431 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2017-04-30 | 141 NW 20TH ST, STE F-7, BOCA RATON, FL 33431 | - |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 141 NW 20TH ST, STE F-7, BOCA RATON, FL 33431 | - |
| REGISTERED AGENT NAME CHANGED | 2017-01-11 | STEIN, LEE | - |
| AMENDMENT | 2016-10-24 | - | - |
| AMENDMENT | 2015-07-24 | - | - |
| AMENDMENT | 2014-07-31 | - | - |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000454761 | LAPSED | 502016CA001658XXXXMB | PALM BEACH COUNTY | 2017-02-24 | 2022-08-08 | $280,576.00 | BEHAVIORAL HEALTH SOLUTIONS, LLC, 2700 PGA BLVD, STE 203, PALM BEACH GARDENS, FL 33410 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2017-01-11 |
| Amendment | 2016-10-24 |
| Off/Dir Resignation | 2016-09-19 |
| Off/Dir Resignation | 2016-06-13 |
| ANNUAL REPORT | 2016-04-29 |
| Amendment | 2015-07-24 |
| ANNUAL REPORT | 2015-01-20 |
| Amendment | 2014-07-31 |
| ANNUAL REPORT | 2014-04-29 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
