Entity Name: | CENTER FOR BEHAVIORAL MEDICINE & PSYCHOLOGICAL WELLNESS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 23 Apr 2013 (12 years ago) |
Document Number: | P13000036322 |
FEI/EIN Number | 46-2605536 |
Address: | 1 West Camino Real, SUITE 220, Boca Raton, FL, 33432, US |
Mail Address: | 1 West Camino Real, SUITE 220, Boca Raton, FL, 33432, US |
ZIP code: | 33432 |
County: | Palm Beach |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1285074716 | 2013-06-28 | 2013-06-28 | 150 SW 12TH AVE STE 207, POMPANO BEACH, FL, 330693298, US | 150 SW 12TH AVE, STE 207, POMPANO BEACH, FL, 330693298, US | |||||||||||||||||||
|
Phone | +1 954-202-6200 |
Fax | 9542026207 |
Authorized person
Name | DR. GARY S TRAUB |
Role | DIRECTOR |
Phone | 9542026200 |
Taxonomy
Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
License Number | PY0003620 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
Traub Gary S | Agent | 1 West Camino Real, Boca Raton, FL, 33432 |
Name | Role | Address |
---|---|---|
TRAUB GARY | President | 1 West Camino Real, Boca Raton, FL, 33432 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-02-10 | 1 West Camino Real, SUITE 220, Boca Raton, FL 33432 | No data |
CHANGE OF MAILING ADDRESS | 2024-02-10 | 1 West Camino Real, SUITE 220, Boca Raton, FL 33432 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2024-02-10 | 1 West Camino Real, SUITE 220, Boca Raton, FL 33432 | No data |
REGISTERED AGENT NAME CHANGED | 2016-02-03 | Traub, Gary S | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-10 |
ANNUAL REPORT | 2023-01-18 |
ANNUAL REPORT | 2022-01-05 |
ANNUAL REPORT | 2021-01-27 |
ANNUAL REPORT | 2020-02-04 |
ANNUAL REPORT | 2019-02-25 |
ANNUAL REPORT | 2018-02-12 |
ANNUAL REPORT | 2017-03-24 |
ANNUAL REPORT | 2016-02-03 |
ANNUAL REPORT | 2015-03-01 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State