| Entity Name: | DENISE LEDERMAN LCSW, LNC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Oct 2009 (15 years ago) |
| Document Number: | P09000089364 |
| FEI/EIN Number | 141920446 |
| Address: | 8480 Siciliano St, Boynton Beach, FL, 33472, US |
| Mail Address: | 8480 Siciliano St, Boynton Beach, FL, 33472, US |
| ZIP code: | 33472 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1598092827 | 2009-11-06 | 2009-11-06 | 36000 PORTOFINO CIR, SUITE 114, PALM BEACH GARDENS, FL, 334181284, US | 36000 PORTOFINO CIR, SUITE 114, PALM BEACH GARDENS, FL, 334181284, US | |||||||||||||||||
|
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| Phone | +1 954-234-9018 |
Authorized person
| Name | MRS. DENISE RENEE LEDERMAN |
| Role | PRESIDENT |
| Phone | 9542349018 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | SW4939 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LEDERMAN DENISE R | Agent | 8480 Siciliano St, Boynton Beach, FL, 33472 |
| Name | Role | Address |
|---|---|---|
| LEDERMAN DENISE R | President | 8480 Siciliano St, Boynton Beach, FL, 33472 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-14 | 8480 Siciliano St, Boynton Beach, FL 33472 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-13 | LEDERMAN, DENISE R. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-08 | 8480 Siciliano St, Boynton Beach, FL 33472 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-08 | 8480 Siciliano St, Boynton Beach, FL 33472 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-03-13 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-04-01 |
| ANNUAL REPORT | 2019-04-08 |
| ANNUAL REPORT | 2018-04-18 |
| ANNUAL REPORT | 2017-03-28 |
| ANNUAL REPORT | 2016-03-19 |
| ANNUAL REPORT | 2015-04-07 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
