| Entity Name: | DEBBIE LAYTON-THOLL, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Dec 2004 (20 years ago) |
| Document Number: | P04000173344 |
| FEI/EIN Number | 134290904 |
| Address: | 5300 W Atlantic Avenue, Delray Beach, FL, 33484, US |
| Mail Address: | P.O. BOX 480253, DELRAY BEACH, FL, 33448 |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700082187 | 2007-06-22 | 2023-04-26 | PO BOX 480253, DELRAY BEACH, FL, 334480253, US | 5300 W ATLANTIC AVE, SUITE 408, DELRAY BEACH, FL, 33484, US | |||||||||||||||||||||||||
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| Phone | +1 561-247-3771 |
Authorized person
| Name | DR. DEBBIE LAYTON-THOLL |
| Role | PSYCHOLOGIST |
| Phone | 5612473771 |
Taxonomy
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY6177 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6177 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DEBBIE LAYTON-THOLL PSYD PA | 2009 | 134290904 | 2010-04-22 | DEBBIE LAYTON-THOLL, PSY.D., P.A. | 2 | |||||||||||||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 134290904 |
| Plan administrator’s name | DEBBIE LAYTON-THOLL, PSY.D., P.A. |
| Plan administrator’s address | POB 480253, DELRAY BEACH, FL, 33448 |
| Administrator’s telephone number | 5613067771 |
Number of participants as of the end of the plan year
| Active participants | 2 |
| Retired or separated participants receiving benefits | 0 |
| Other retired or separated participants entitled to future benefits | 0 |
| Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
| Number of participants with account balances as of the end of the plan year | 0 |
| Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
| Role | Plan administrator |
| Date | 2010-04-22 |
| Name of individual signing | DEBBIE LAYTON-THOLL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DEBBIE LAYTON-THOLL, PSY.D., PA | Agent | 10290 W Atlantic Avenue, Delray Beach, FL, 33448 |
| Name | Role | Address |
|---|---|---|
| LAYTON-THOLL DEBBIE D | President | P.O. BOX 480253, DELRAY BEACH, FL, 33448 |
| Name | Role | Address |
|---|---|---|
| LAYTON-THOLL DEBBIE D | Vice President | P.O. BOX 480253, DELRAY BEACH, FL, 33448 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2020-04-28 | DEBBIE LAYTON-THOLL, PSY.D., PA | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-22 | 5300 W Atlantic Avenue, Suite 408, Delray Beach, FL 33484 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-22 | 10290 W Atlantic Avenue, # 480253, Delray Beach, FL 33448 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-23 |
| ANNUAL REPORT | 2023-03-13 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-04-28 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-02-05 |
| ANNUAL REPORT | 2017-03-11 |
| ANNUAL REPORT | 2016-02-07 |
| ANNUAL REPORT | 2015-02-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
