| Entity Name: | EMBRACEPSYCH, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Apr 2014 (11 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 17 Apr 2019 (6 years ago) |
| Document Number: | P14000036435 |
| FEI/EIN Number | 46-5500343 |
| Address: | 10733 Oceano Way, Parkland, FL 33076 |
| Mail Address: | 10733 Oceano Way, Parkland, FL 33076 |
| ZIP code: | 33076 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821494089 | 2014-11-14 | 2024-08-19 | 3016 NW 30TH TER, OAKLAND PARK, FL, 333118495, US | 10733 OCEANO WAY, PARKLAND, FL, 330763923, US | |||||||||||||||||||||
|
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| Phone | +1 954-851-9690 |
| Fax | 9548519688 |
| Phone | +1 305-336-1602 |
Authorized person
| Name | MS. ALLISON SLACK |
| Role | SOLE PROPRIETOR |
| Phone | 3053361602 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9292051 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BOOKS2TAX, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| SLACK, ALLISON | President | 10733 Oceano Way, Parkland, FL 33076 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-10-18 | 10733 Oceano Way, Parkland, FL 33076 | No data |
| CHANGE OF MAILING ADDRESS | 2021-10-18 | 10733 Oceano Way, Parkland, FL 33076 | No data |
| REINSTATEMENT | 2019-04-17 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-17 | 466 Banyan St., Sebastian, FL 32958 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-17 | Books2Tax, LLC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2014-05-01 | EMBRACEPSYCH, INC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-06 |
| AMENDED ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2024-01-11 |
| ANNUAL REPORT | 2023-01-03 |
| ANNUAL REPORT | 2022-01-11 |
| AMENDED ANNUAL REPORT | 2021-10-18 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-01-13 |
| REINSTATEMENT | 2019-04-17 |
| ANNUAL REPORT | 2017-01-06 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
