| Entity Name: | KRISTIN LITTEN BURNITZ PSYD INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Apr 2020 (5 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 14 May 2020 (5 years ago) |
| Document Number: | P20000033119 |
| FEI/EIN Number | 90-1504447 |
| Address: | 815 N. HOMESTEAD BLVD, 356, HOMESTEAD, FL, 33030, US |
| Mail Address: | 815 N. HOMESTEAD BLVD, 356, HOMESTEAD, FL, 33030, US |
| ZIP code: | 33030 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265034896 | 2020-11-09 | 2020-11-09 | 950 N KROME AVE STE 470, HOMESTEAD, FL, 330304400, US | 950 N KROME AVE STE 470, HOMESTEAD, FL, 330304400, US | |||||||||||||
|
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| Phone | +1 305-245-0017 |
Authorized person
| Name | DR. KRISTIN LITTEN BURNITZ |
| Role | PSYCHOLOGIST |
| Phone | 3052450017 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BRIAN PRZYSTUP & ASSOCIATES LLC | Agent |
| Name | Role | Address |
|---|---|---|
| LITTEN BURNITZ KRISTIN | President | 815 N. HOMESTEAD BLVD, HOMESTEAD, FL, 33030 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-04 | 815 N. HOMESTEAD BLVD, 356, HOMESTEAD, FL 33030 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-04 | 815 N. HOMESTEAD BLVD, 356, HOMESTEAD, FL 33030 | No data |
| AMENDMENT | 2020-05-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-04-04 |
| ANNUAL REPORT | 2021-03-16 |
| Amendment | 2020-05-14 |
| Domestic Profit | 2020-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
