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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
BLUM, MITCHELL | Agent | 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418 |
Name | Role | Address |
---|---|---|
BLUM, LISA | President | 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418 |
Name | Role | Address |
---|---|---|
FRANK, JODIE | Vice President | 174 ESPERANZA WAY, PALM BEACH GARDENS, FL 33418 |
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 |
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