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PSYHEALTH INC.

Company Details

Entity Name: PSYHEALTH INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 23 Jul 2019 (6 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 09 Sep 2023 (a year ago)
Document Number: P19000059832
FEI/EIN Number 843508722
Address: 758 Manatee Bay Drive, Boynton Beach, FL, 33435, US
Mail Address: 10440 Cypress Lakes Preserve Drive, Lake Worth, FL, 33449, US
ZIP code: 33435
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619515004 2019-12-16 2024-06-21 10440 CYPRESS LAKES PRESERVE DR, LAKE WORTH, FL, 334494610, US 10440 CYPRESS LAKES PRESERVE DR, LAKE WORTH, FL, 334494610, US

Contacts

Phone +1 561-715-1162
Fax 5616343876

Authorized person

Name DR. PERI MICHELLE BLUM
Role OWNER/CEO
Phone 5617151162

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
BLUM PERI M Agent 758 Manatee Bay Drive, Boynton Beach, FL, 33435

President

Name Role Address
BLUM Peri M President 758 Manatee Bay Drive, Boynton Beach, FL, 33435

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-05-07 758 Manatee Bay Drive, Boynton Beach, FL 33435 No data
REINSTATEMENT 2023-09-09 No data No data
CHANGE OF PRINCIPAL ADDRESS 2023-09-09 758 Manatee Bay Drive, Boynton Beach, FL 33435 No data
REGISTERED AGENT NAME CHANGED 2023-09-09 BLUM, PERI M No data
REGISTERED AGENT ADDRESS CHANGED 2023-09-09 758 Manatee Bay Drive, Boynton Beach, FL 33435 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2022-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-02-07
REINSTATEMENT 2023-09-09
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-03-04
Domestic Profit 2019-07-23

Date of last update: 01 Feb 2025

Sources: Florida Department of State