| Entity Name: | TREASURE COAST PSYCHOLOGY INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Mar 2016 (9 years ago) |
| Document Number: | P16000025454 |
| FEI/EIN Number | 81-1977268 |
| Address: | 4193 SW Oakhaven Lane, Palm City, FL 34990 |
| Mail Address: | 4193 SE OAKHAVEN LANE, PALM CITY, FL 34990 |
| ZIP code: | 34990 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134573512 | 2016-04-21 | 2016-04-21 | 819 SW FEDERAL HWY STE 200B, STUART, FL, 349942952, US | 819 SW FEDERAL HWY STE 200B, STUART, FL, 349942952, US | |||||||||||||||||||||||||
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| Phone | +1 561-531-8356 |
Authorized person
| Name | DR. JIMMY L MIDDLEBROOK |
| Role | PRESIDENT |
| Phone | 5615318356 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | PY 9495 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | PY 9495 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MIDDLEBROOK, JIMMY | Agent | 4193 SE OAKHAVEN LANE, PALM CITY, FL 34990 |
| Name | Role | Address |
|---|---|---|
| MIDDLEBROOK, JIMMY | President | 4193 SE OAKHAVEN LANE, PALM CITY, FL 34990 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000133573 | CATALYST 4 CHANGE | ACTIVE | 2024-10-31 | 2029-12-31 | No data | 4193 SW OAKHAVEN LANE, PALM CITY, FL, 34990 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2018-04-05 | 4193 SW Oakhaven Lane, Palm City, FL 34990 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-10 |
| ANNUAL REPORT | 2023-03-27 |
| ANNUAL REPORT | 2022-02-02 |
| ANNUAL REPORT | 2021-01-12 |
| ANNUAL REPORT | 2020-04-17 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-05 |
| ANNUAL REPORT | 2017-04-09 |
| Domestic Profit | 2016-03-17 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
