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A PSYCHOLOGICAL COUNSELING CENTER INC.

Company Details

Entity Name: A PSYCHOLOGICAL COUNSELING CENTER INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Inactive
Date Filed: 08 Dec 2003 (21 years ago)
Date of dissolution: 26 Sep 2008 (16 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 26 Sep 2008 (16 years ago)
Document Number: P03000151197
FEI/EIN Number 58-2682541
Address: 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418
Mail Address: 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 3341-8
ZIP code: 33418
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1982783536 2006-11-03 2022-07-21 2001 PALM BEACH LAKES BLVD, 502M, WEST PALM BEACH, FL, 334096510, US 2001 PALM BEACH LAKES BLVD, 502M, WEST PALM BEACH, FL, 334096510, US

Contacts

Phone +1 561-601-6244
Fax 5612530513

Authorized person

Name MR. MITCHELL A BLUM
Role SOCIAL WORKER
Phone 5616016244

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW807
State FL
Is Primary Yes

Agent

Name Role Address
BLUM, MITCHELL Agent 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418

President

Name Role Address
BLUM, LISA President 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418

Vice President

Name Role Address
FRANK, JODIE Vice President 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data
CHANGE OF PRINCIPAL ADDRESS 2007-04-16 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418 No data
CHANGE OF MAILING ADDRESS 2007-04-16 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418 No data
REGISTERED AGENT NAME CHANGED 2005-03-08 BLUM, MITCHELL No data

Documents

Name Date
ANNUAL REPORT 2007-04-16
ANNUAL REPORT 2006-04-12
ANNUAL REPORT 2005-03-08
ANNUAL REPORT 2004-04-02
Domestic Profit 2003-12-08

Date of last update: 05 Jan 2025

Sources: Florida Department of State