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KAREN FORBERG, LCSW, P.A.

Company Details

Entity Name: KAREN FORBERG, LCSW, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 01 Jun 2000 (25 years ago)
Last Event: NAME CHANGE AMENDMENT
Event Date Filed: 29 Apr 2002 (23 years ago)
Document Number: P00000053092
FEI/EIN Number 593648869
Address: 900 6th Ave. S. #204-1, NAPLES, FL, 34102, US
Mail Address: 900 6th Ave. S. #204-1, NAPLES, FL, 34102, US
ZIP code: 34102
County: Collier
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023305950 2011-06-29 2011-06-29 5801 PELICAN BAY BLVD, STE 601, NAPLES, FL, 341082755, US 5801 PELICAN BAY BLVD, STE 601, NAPLES, FL, 341082755, US

Contacts

Phone +1 239-434-2929

Authorized person

Name KAREN FORBERG
Role PRESIDENT / OPERATOR
Phone 2392852929

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW6438
State FL
Is Primary Yes

Agent

Name Role Address
FORBERG KAREN Agent 900 6th Ave. S. #204-1, NAPLES, FL, 34102

Director

Name Role Address
FORBERG KAREN L Director 900 6th Ave. S. #204-1, NAPLES, FL, 34102

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-28 900 6th Ave. S. #204-1, NAPLES, FL 34102 No data
CHANGE OF MAILING ADDRESS 2021-04-28 900 6th Ave. S. #204-1, NAPLES, FL 34102 No data
REGISTERED AGENT ADDRESS CHANGED 2021-04-28 900 6th Ave. S. #204-1, NAPLES, FL 34102 No data
REGISTERED AGENT NAME CHANGED 2010-04-27 FORBERG, KAREN No data
NAME CHANGE AMENDMENT 2002-04-29 KAREN FORBERG, LCSW, P.A. No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-04-28
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-06-23
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-24
ANNUAL REPORT 2017-01-29
ANNUAL REPORT 2016-04-23
ANNUAL REPORT 2015-02-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State