Entity Name: | PROTECTIVE FACTORS GROUP, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Active |
Date Filed: | 14 Oct 2021 (3 years ago) |
Document Number: | N21000012101 |
FEI/EIN Number | 88-1561116 |
Address: | 3906 GREENWOOD AVE, WEST PALM BEACH, FL 33407 |
Mail Address: | 516 NORTHWOOD ROAD UNIT #8594, WEST PALM BEACH, FL 33407 |
ZIP code: | 33407 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528700663 | 2022-04-09 | 2024-07-08 | 516 NORTHWOOD RD UNIT 8594, WEST PALM BEACH, FL, 334075890, US | 12794 FOREST HILL BLVD UNIT 9-10, WELLINGTON, FL, 334144710, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 954-560-8326 |
Authorized person
Name | DEBBIE MANIGAT |
Role | CEO/CLINICAL DIRECTOR |
Phone | 9545608326 |
Taxonomy
Taxonomy Code | 101Y00000X - Counselor |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 106H00000X - Marriage & Family Therapist |
Is Primary | Yes |
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
Is Primary | No |
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
Is Primary | No |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
MANIGAT, DEBBIE | Agent | 3906 GREENWOOD AVE, WEST PALM BEACH, FL 33407 |
Name | Role | Address |
---|---|---|
MANIGAT, DEBBIE | Chief Executive Officer | 516 NORTHWOOD RD UNIT #8594, WEST PALM BEACH, FL 33407 |
Name | Role | Address |
---|---|---|
HANLEY, BLAKE | Director | 44 COCOANUT ROW #A108, PALM BEACH, FL 33408 |
MCKENZIE, DEBORAH | Director | 125 S STATE ROAD 7, SUITE 104-314, WELLINGTON, FL 33414 |
PERRY, RONNIE, JR. | Director | 2535 SANDY CAY, WEST PALM BEACH, FL 33411 |
MUNDT, ERIC | Director | 15200 JOG ROAD, SUITE 303, DELRAY BEACH, FL 33446 |
CUNNINGHAM, ROBERT | Director | 127 B NORTH 7TH ST. # 3243, SALINA, KS 67402 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-25 |
ANNUAL REPORT | 2023-02-19 |
ANNUAL REPORT | 2022-04-04 |
Domestic Non-Profit | 2021-10-14 |
Date of last update: 13 Jan 2025
Sources: Florida Department of State