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PSYCHIATRY WELLNESS CENTER PA - Florida Company Profile

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Company Details

Entity Name: PSYCHIATRY WELLNESS CENTER PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 20 Mar 2020 (5 years ago)
Date of dissolution: 28 Nov 2022 (3 years ago)
Last Event: VOLUNTARY DISSOLUTION
Event Date Filed: 28 Nov 2022 (3 years ago)
Document Number: P20000025269
FEI/EIN Number 85-0517290
Address: 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL, 33467, US
Mail Address: 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL, 33467, US
ZIP code: 33467
City: Lake Worth
County: Palm Beach
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
TABORA JANELL Vice President 6801 LAKE WORTH RD SUITE 213-214, GREENACRES, FL, 33467
DAVIS EBONY R President 6801 LAKE WORTH RD SUITE 213-214, GREENACRES, FL, 33467
Davis Ebony R Agent 6801 LAKE WORTH RD, GREENACRES, FL, 33467

National Provider Identifier

NPI Number:
1386271849
Certification Date:
2022-09-20

Authorized Person:

Name:
JANELL LYNN TABORA
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
5614697089

Events

Event Type Filed Date Value Description
VOLUNTARY DISSOLUTION 2022-11-28 - -
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 -
CHANGE OF MAILING ADDRESS 2022-04-29 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 -
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 6801 LAKE WORTH RD, SUITE 201-202, GREENACRES, FL 33467 -
REGISTERED AGENT NAME CHANGED 2021-03-30 Davis, Ebony Renae -
AMENDMENT 2020-05-18 - -

Documents

Name Date
VOLUNTARY DISSOLUTION 2022-11-28
ANNUAL REPORT 2022-04-29
ANNUAL REPORT 2021-03-30
Amendment 2020-05-18
Domestic Profit 2020-03-20

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Date of last update: 03 Aug 2025

Sources: Florida Department of State