| Entity Name: | DR. JENNIFER RUBOLINO, LMHC INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Apr 2018 (7 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 07 May 2018 (7 years ago) |
| Document Number: | P18000036260 |
| FEI/EIN Number | 83-0602212 |
| Address: | 5300 West Atlantic Avenue, delray beach, FL, 33484, US |
| Mail Address: | 5300 West Atlantic Avenue, delray beach, FL, 33484, US |
| ZIP code: | 33484 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659852416 | 2018-08-28 | 2020-11-06 | 22684 VISTAWOOD WAY, BOCA RATON, FL, 33428, US | 205 WORTH AVENUE, SUITE 201, PALM BEACH, FL, 33480, US | |||||||||||||||||||
|
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| Phone | +1 954-821-9291 |
| Fax | 8667575778 |
Authorized person
| Name | JENNIFER L RUBOLINO |
| Role | OWNER/MBR |
| Phone | 9548219291 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH14608 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| RUBOLINO JENNIFER | Agent | 5300 WEST ATLANTIC AVENUE, DELRAY BEACH, FL, 33484 |
| Name | Role | Address |
|---|---|---|
| RUBOLINO JENNIFER | Dr | 205 Worth Avenue, Palm Beach, FL, 33480 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-06-30 | 5300 WEST ATLANTIC AVENUE, SUITE 408, DELRAY BEACH, FL 33484 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-22 | 5300 West Atlantic Avenue, suite 408, delray beach, FL 33484 | No data |
| CHANGE OF MAILING ADDRESS | 2022-05-31 | 5300 West Atlantic Avenue, suite 408, delray beach, FL 33484 | No data |
| NAME CHANGE AMENDMENT | 2018-05-07 | DR. JENNIFER RUBOLINO, LMHC INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-20 |
| Reg. Agent Change | 2022-06-30 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-11 |
| Name Change | 2018-05-07 |
| Domestic Profit | 2018-04-18 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
