| Entity Name: | SUSIE GLICK THERAPIST, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Aug 2009 (15 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 16 Mar 2012 (13 years ago) |
| Document Number: | P09000072798 |
| FEI/EIN Number | 271492383 |
| Address: | 3748 Imperata Dr, Rockledge, FL, 32955, US |
| Mail Address: | 3748 Imperata Dr, Rockledge, FL, 32955, US |
| ZIP code: | 32955 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578222410 | 2021-12-08 | 2021-12-08 | 3478 IMPERATA DR, ROCKLEDGE, FL, 329556089, US | 3478 IMPERATA DR, ROCKLEDGE, FL, 329556089, US | |||||||||||||||||
|
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| Phone | +1 321-446-0126 |
Authorized person
| Name | SUSIE GLICK |
| Role | PRESIDENT |
| Phone | 3214460126 |
Taxonomy
| Taxonomy Code | 104100000X - Social Worker |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GLICK SUSAN C | Agent | 3748 IMPERATA DR, ROCKLEDGE, FL, 32955 |
| Name | Role | Address |
|---|---|---|
| GLICK SUSAN C | President | 3748 IMPERATA DR, ROCKLEDGE, FL, 32955 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-02 | 3748 Imperata Dr, Rockledge, FL 32955 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-02 | 3748 Imperata Dr, Rockledge, FL 32955 | No data |
| REINSTATEMENT | 2012-03-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2012-03-16 | GLICK, SUSAN C | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-03-16 | 3748 IMPERATA DR, ROCKLEDGE, FL 32955 | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-21 |
| ANNUAL REPORT | 2024-01-05 |
| ANNUAL REPORT | 2023-01-19 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-08 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-02-10 |
| ANNUAL REPORT | 2016-03-19 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
