| Entity Name: | LISA SALCEDO, LCSW, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Apr 2018 (7 years ago) |
| Document Number: | P18000033105 |
| FEI/EIN Number | 82-5184911 |
| Mail Address: | 6348 ETHAN DR, LAKE WORTH, FL, 33467, US |
| Address: | 6348 ETHAN DR., LAKE WORTH, FL, 33467, US |
| ZIP code: | 33467 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972135572 | 2020-02-11 | 2020-02-11 | 6348 ETHAN DRIVE, LAKE WORTH, FL, 334678732, US | 6971 N FEDERAL HIGHWAY, STE 301, BOCA RATON, FL, 334871649, US | |||||||||||||||
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| Phone | +1 561-801-7577 |
| Fax | 5618289272 |
Authorized person
| Name | LISA SALCEDO |
| Role | OWNER |
| Phone | 5618017577 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SALCEDO LISA | Agent | 6348 ETHAN DR, LAKE WORTH, FL, 33467 |
| Name | Role | Address |
|---|---|---|
| SALCEDO LISA | President | 6348 ETHAN DR., LAKE WORTH, FL, 33467 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-02 | 6348 ETHAN DR., LAKE WORTH, FL 33467 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-16 |
| ANNUAL REPORT | 2023-03-22 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-24 |
| ANNUAL REPORT | 2019-04-13 |
| Domestic Profit | 2018-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
