| Entity Name: | PAT CICETTI, LMHC, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Nov 2005 (19 years ago) |
| Date of dissolution: | 27 Sep 2013 (11 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2013 (11 years ago) |
| Document Number: | P05000154190 |
| FEI/EIN Number | 562551296 |
| Address: | 8198 JOG ROAD, #201, BOYNTON BEACH, FL, 33472 |
| Mail Address: | 8198 JOG ROAD, #201, BOYNTON BEACH, FL, 33472 |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1316198484 | 2008-10-07 | 2008-10-07 | 8130 MIMOSA PL, BOYNTON BEACH, FL, 334725020, US | 115 WOOLBRIGHT ROAD, SUITE B, BOYNTON BEACH, FL, 334355908, US | |||||||||||||||||||||
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| Phone | +1 561-502-1638 |
| Fax | 5617404788 |
Authorized person
| Name | PATRICIA CICETTI |
| Role | PRESIDENT |
| Phone | 5615021638 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI INDIVIDUAL 1215124847 |
| Number | MH 6454 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| CICETTI PAT | Agent | 8198 JOG ROAD, BOYNTON BEACH, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| CICETTI PAT | Director | 8198 JOG ROAD, #201, BOYNTON BEACH, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2011-04-28 | 8198 JOG ROAD, #201, BOYNTON BEACH, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2011-04-28 | 8198 JOG ROAD, #201, BOYNTON BEACH, FL 33472 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-04-28 | 8198 JOG ROAD, #201, BOYNTON BEACH, FL 33472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2012-04-25 |
| ANNUAL REPORT | 2011-04-28 |
| ANNUAL REPORT | 2010-03-11 |
| ANNUAL REPORT | 2009-04-06 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-04-25 |
| ANNUAL REPORT | 2006-02-14 |
| Domestic Profit | 2005-11-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
