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