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MARRIAGE & FAMILY SERVICES, INC.

Company Details

Entity Name: MARRIAGE & FAMILY SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 06 Apr 2006 (19 years ago)
Document Number: P06000049708
FEI/EIN Number 20-4718328
Address: 1776 N Pine Island Rd, SUITE 208, Plantation, FL 33322
Mail Address: 15204 S JOG ROAD, SUITE 303, DELRAY BEACH, FL 33446
ZIP code: 33322
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003643727 2024-09-17 2024-09-17 15204 S JOG RD STE 303, DELRAY BEACH, FL, 334462171, US 1725 W DR MARTIN LUTHER KING JR BLVD STE 105, TAMPA, FL, 336076507, US

Contacts

Phone +1 561-774-8225
Fax 5616342776

Authorized person

Name ERIC THOMAS MUNDT
Role CEO, CLINICAL DIRECTOR
Phone 5615033059

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

Agent

Name Role Address
MUNDT, ERIC Agent 1520\4 S JOG ROAD, SUITE 303, DELRAY BEACH, FL 33446

President

Name Role Address
MUNDT, ERIC President 15204 S JOG ROAD, SUITE 303 DELRAY BEACH, FL 33446

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-09-13 1776 N Pine Island Rd, SUITE 208, Plantation, FL 33322 No data
CHANGE OF MAILING ADDRESS 2024-04-24 1776 N Pine Island Rd, SUITE 208, Plantation, FL 33322 No data
REGISTERED AGENT ADDRESS CHANGED 2024-04-24 1520\4 S JOG ROAD, SUITE 303, DELRAY BEACH, FL 33446 No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-09-13
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-04-12
ANNUAL REPORT 2022-03-10
ANNUAL REPORT 2021-02-03
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-05-17
ANNUAL REPORT 2018-04-19
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-04-15

Date of last update: 03 Jan 2025

Sources: Florida Department of State