| Entity Name: | DIANA GENZONE, LMHC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 13 Feb 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P12000014686 |
| FEI/EIN Number | 45-4532961 |
| Address: | 7100 W. CAMINO REAL, SUITE 302, BOCA RATON, FL 33433 |
| Mail Address: | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407193873 | 2013-01-05 | 2013-01-05 | 3635 LAKEWOOD PL, COCONUT CREEK, FL, 330732248, US | 7100 W CAMINO REAL, SUITE 302, BOCA RATON, FL, 334335510, US | |||||||||||||||||||||||||
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| Phone | +1 561-444-8052 |
Authorized person
| Name | MRS. DIANA GENZONE |
| Role | MENTAL HEALTH THERAPIST |
| Phone | 5614448052 |
Taxonomy
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| License Number | 4672 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 8474 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GENZONE, DIANA | Agent | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| GENZONE, DIANA | President | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| GENZONE, DIANA | Secretary | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 |
| Name | Role | Address |
|---|---|---|
| GENZONE, DIANA | Treasurer | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2016-08-29 | 7100 W. CAMINO REAL, SUITE 302, BOCA RATON, FL 33433 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-08-29 | 8074 RAINFOREST JASPER LANE, DELRAY BEACH, FL 33446 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-03-19 | 7100 W. CAMINO REAL, SUITE 302, BOCA RATON, FL 33433 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-01-09 |
| Reg. Agent Change | 2016-08-29 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-01-11 |
| ANNUAL REPORT | 2014-03-05 |
| ANNUAL REPORT | 2013-02-15 |
| Domestic Profit | 2012-02-13 |
Date of last update: 23 Jan 2025
Sources: Florida Department of State
