| Entity Name: | LISA CICETTI, PSY. D, LMHC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 20 Mar 2003 (22 years ago) |
| Last Event: | AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 04 Aug 2008 (16 years ago) |
| Document Number: | P03000031961 |
| FEI/EIN Number | 16-1658347 |
| Address: | 125 Neptune Dr, Hypoluxo, FL 33462 |
| Mail Address: | 125 Neptune Dr, Hypoluxo, FL 33462 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699044354 | 2011-12-23 | 2014-02-04 | 1101 N CONGRESS AVE STE 208, BOYNTON BEACH, FL, 334263336, US | 1101 N CONGRESS AVE STE 208, BOYNTON BEACH, FL, 334263336, US | |||||||||||||||
|
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| Phone | +1 561-734-6118 |
| Fax | 5613693275 |
Authorized person
| Name | LISA CICETTI |
| Role | CEO |
| Phone | 5617346118 |
Taxonomy
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CICETTI, LISA PSY.D. | Agent | 125 Neptune Dr, Hypoluxo, FL 33462 |
| Name | Role | Address |
|---|---|---|
| CICETTI, LISA | Chief Executive Officer | 125 Neptune Dr, Hypoluxo, FL 33462 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000129221 | NEURO-DIAGNOSTIX | EXPIRED | 2014-12-23 | 2019-12-31 | No data | 1101 N CONGRESS AVE, ST 208, BOYNTON BEACH, FL, 33426 |
| G14000129657 | NEURO-DIAGNOSTICS | EXPIRED | 2014-12-17 | 2019-12-31 | No data | 1101 N CONGRESS AVE, ST 208, BOYNTON BEACH, FL, 33426 |
| G12000121988 | THE CENTER FOR NEURORECOVERY | EXPIRED | 2012-12-18 | 2017-12-31 | No data | 1101 NORTH CONGRESS AVENUE, SUITE 202, BOYNTON BEACH, FL, 33426 |
| G12000067252 | NEW DIRECTIONS | EXPIRED | 2012-07-05 | 2017-12-31 | No data | 8198 JOG ROAD SUITE 201, BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-30 | 125 Neptune Dr, Hypoluxo, FL 33462 | No data |
| CHANGE OF MAILING ADDRESS | 2018-04-30 | 125 Neptune Dr, Hypoluxo, FL 33462 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-30 | 125 Neptune Dr, Hypoluxo, FL 33462 | No data |
| REGISTERED AGENT NAME CHANGED | 2011-04-25 | CICETTI, LISA PSY.D. | No data |
| AMENDMENT AND NAME CHANGE | 2008-08-04 | LISA CICETTI, PSY. D, LMHC, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-19 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-30 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-27 |
| ANNUAL REPORT | 2015-04-06 |
Date of last update: 06 Jan 2025
Sources: Florida Department of State
