| Entity Name: | YOUTH PSYCHOLOGICAL ASSESSMENT & THERAPY CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Nov 2004 (20 years ago) |
| Document Number: | P04000157139 |
| FEI/EIN Number | 201900378 |
| Address: | 1463 OAKFIELD DRIVE, BRANDON, FL, 33511, US |
| Mail Address: | 1463 OAKFIELD DRIVE, BRANDON, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942614854 | 2014-06-18 | 2014-06-18 | 1452 OAKFIELD DR, BRANDON, FL, 335114853, US | 1452 OAKFIELD DR, BRANDON, FL, 335114853, US | |||||||||||||||||||
|
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| Phone | +1 813-689-2525 |
| Fax | 8136894433 |
Authorized person
| Name | DR. GARIN VICK |
| Role | DOCTOR |
| Phone | 8136892525 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6982 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VICK GARIN D | Agent | 1463 OAKFIELD DRIVE, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| VICK GARIN D | President | 1463 OAKFIELD DRIVE, BRANDON, FL, 33511 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-01 | 1463 OAKFIELD DRIVE, #136, BRANDON, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-01 | 1463 OAKFIELD DRIVE, #136, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-03-01 | 1463 OAKFIELD DRIVE, #136, BRANDON, FL 33511 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-16 |
| ANNUAL REPORT | 2023-02-19 |
| ANNUAL REPORT | 2022-02-19 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-02-11 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-03-11 |
| ANNUAL REPORT | 2017-03-01 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-03-12 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
