| Entity Name: | JENNIFER ESTRADA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 15 May 2012 (13 years ago) |
| Document Number: | P12000045111 |
| FEI/EIN Number | 45-4466314 |
| Address: | 2393 S. Congress Ave, Palm Springs, FL, 33406, US |
| Mail Address: | 3500 Georgia Ave, West Palm Beach, FL, 33405, US |
| ZIP code: | 33406 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1588076079 | 2014-06-02 | 2024-02-22 | 3500 GEORGIA AVE, WEST PALM BEACH, FL, 334051833, US | 2393 S CONGRESS AVE STE 211, PALM SPRINGS, FL, 334067628, US | |||||||||||||||||||||
|
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| Phone | +1 561-320-2104 |
Authorized person
| Name | JENNIFER ESTRADA |
| Role | PSYCHOTHERAPIST |
| Phone | 5613202104 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9160 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL NPI |
| Number | 1821266479 |
| Name | Role | Address |
|---|---|---|
| ESTRADA JENNIFER | Agent | 3500 Georgia Ave, West Palm Beach, FL, 33405 |
| Name | Role | Address |
|---|---|---|
| ESTRADA JENNIFER | President | 3500 Georgia Ave, West Palm Beach, FL, 33405 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000141032 | COUNSELING WORKS | ACTIVE | 2021-10-20 | 2026-12-31 | No data | 3500 GEORGIA AVE, WEST PALM BEACH, FL, 33405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-19 | 2393 S. Congress Ave, Suite 211, Palm Springs, FL 33406 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-22 | 2393 S. Congress Ave, Suite 211, Palm Springs, FL 33406 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-22 | 3500 Georgia Ave, West Palm Beach, FL 33405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-13 |
| ANNUAL REPORT | 2023-04-16 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-04-25 |
| ANNUAL REPORT | 2019-04-09 |
| ANNUAL REPORT | 2018-09-11 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
