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BANYAN INSTITUTE, INC.

Company Details

Entity Name: BANYAN INSTITUTE, INC.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 12 Apr 1995 (30 years ago)
Document Number: P95000028555
FEI/EIN Number 65-0581243
Address: BANYAN INSTITUTE, INC., 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411
Mail Address: BANYAN INSTITUTE, INC., 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411
ZIP code: 33411
County: Palm Beach
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033259783 2007-02-08 2020-08-22 11388 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL, 334118705, US 11388 OKEECHOBEE BLVD, ROYAL PALM BEACH, FL, 334118705, US

Contacts

Phone +1 561-798-2310
Fax 5617982477

Authorized person

Name DR. LISA C NIEBLING
Role LICENSED MENTAL HEALTH COUNSELOR
Phone 5617982310

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH-4160
State FL
Is Primary Yes

Agent

Name Role Address
NIEBLING, LISA C Agent 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Director

Name Role Address
NIEBLING, LISA C Director 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

President

Name Role Address
NIEBLING, LISA C President 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Vice President

Name Role Address
NIEBLING, LISA C Vice President 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Secretary

Name Role Address
NIEBLING, LISA C Secretary 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Treasurer

Name Role Address
NIEBLING, LISA C Treasurer 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2001-04-25 BANYAN INSTITUTE, INC., 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 No data
CHANGE OF MAILING ADDRESS 2001-04-25 BANYAN INSTITUTE, INC., 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 No data
REGISTERED AGENT ADDRESS CHANGED 2001-04-25 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 No data

Documents

Name Date
ANNUAL REPORT 2024-04-11
ANNUAL REPORT 2023-04-26
ANNUAL REPORT 2022-04-14
ANNUAL REPORT 2021-04-28
ANNUAL REPORT 2020-03-21
ANNUAL REPORT 2019-04-29
ANNUAL REPORT 2018-04-17
ANNUAL REPORT 2017-04-26
ANNUAL REPORT 2016-04-28
ANNUAL REPORT 2015-04-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State