Entity Name: | PENNIE MARKUS LMHC , INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 15 Feb 2012 (13 years ago) |
Document Number: | P12000015846 |
FEI/EIN Number | 45-4549397 |
Mail Address: | 2640 Lake Shore Drive, Riviera Beach, FL, 33404, US |
Address: | 2655 NORTH OCEAN DRIVE, Riviera Beach, FL, 33404, US |
ZIP code: | 33404 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609232628 | 2016-01-06 | 2016-01-06 | 2640 LAKE SHORE DR, SUITE 609, RIVIERA BEACH, FL, 334044665, US | 2640 LAKE SHORE DR, SUITE 609, RIVIERA BEACH, FL, 334044665, US | |||||||||||||||||||||||||||||||||||
|
Phone | +1 561-843-7101 |
Fax | 5614594030 |
Authorized person
Name | PENNIE MARKUS |
Role | PRESIDENT |
Phone | 5618437101 |
Taxonomy
Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
License Number | MH6216 |
State | FL |
Is Primary | No |
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MH6216 |
State | FL |
Is Primary | Yes |
Taxonomy Code | 101YP2500X - Professional Counselor |
License Number | MH6216 |
State | FL |
Is Primary | No |
Name | Role | Address |
---|---|---|
ADAMS JOHN | Agent | 8661 NW 24TH STREET, SUNRISE, FL, 33322 |
Name | Role | Address |
---|---|---|
BROOKS PENNIE M | President | 2640 Lake Shore Drive, Riviera Beach, FL, 33404 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2019-01-18 | 2655 NORTH OCEAN DRIVE, Riviera Beach, FL 33404 | No data |
CHANGE OF MAILING ADDRESS | 2014-03-23 | 2655 NORTH OCEAN DRIVE, Riviera Beach, FL 33404 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-12 |
ANNUAL REPORT | 2024-01-23 |
ANNUAL REPORT | 2023-01-29 |
ANNUAL REPORT | 2022-01-12 |
ANNUAL REPORT | 2021-01-14 |
ANNUAL REPORT | 2020-01-16 |
ANNUAL REPORT | 2019-01-18 |
ANNUAL REPORT | 2018-02-01 |
ANNUAL REPORT | 2017-08-19 |
ANNUAL REPORT | 2016-07-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State