| Entity Name: | AUBREY K. EWING, PH.D. & ASSOCIATES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 23 Aug 1993 (31 years ago) |
| Document Number: | P93000060101 |
| FEI/EIN Number | 65-0436916 |
| Mail Address: | 605 Kingsmarsh Way, St. Simons Island, GA 31522 |
| Address: | 1230 S. FEDERAL HWY., SUITE 102, BOYNTON BCH, FL 33435 |
| ZIP code: | 33435 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1205180031 | 2012-10-31 | 2012-10-31 | 1230 S FEDERAL HWY, BOYNTON BEACH, FL, 334356000, US | 1230 S FEDERAL HWY, BOYNTON BEACH, FL, 334356000, US | |||||||||||||||||||||||||||||
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| Phone | +1 561-742-7122 |
Authorized person
| Name | DR. AUBREY K. EWING |
| Role | PRESIDENT/CLINICAL DIRECTOR |
| Phone | 5617427122 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH0000454 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| EWING, AUBREY K., PH.D. | Agent | 1230 S. Federal Hwy., Suite 102, St. Simons Island, FL 31522 |
| Name | Role | Address |
|---|---|---|
| EWING, AUBREY K., PH.D. | President | 605 Kingsmarsh Way, St. Simons Island, GA 31522 |
| Name | Role | Address |
|---|---|---|
| EWING, AUBREY K., PH.D. | Secretary | 605 Kingsmarsh Way, St. Simons Island, GA 31522 |
| Name | Role | Address |
|---|---|---|
| EWING, AUBREY K., PH.D. | Treasurer | 605 Kingsmarsh Way, St. Simons Island, GA 31522 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-12 | 1230 S. FEDERAL HWY., SUITE 102, BOYNTON BCH, FL 33435 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-12 | 1230 S. FEDERAL HWY., SUITE 102, BOYNTON BCH, FL 33435 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-12 | 1230 S. Federal Hwy., Suite 102, St. Simons Island, FL 31522 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-30 | EWING, AUBREY K., PH.D. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-05-07 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-03-29 |
| ANNUAL REPORT | 2017-06-21 |
| ANNUAL REPORT | 2016-02-15 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
