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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | Agent | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | Director | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | President | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | Vice President | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | Secretary | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
Name | Role | Address |
---|---|---|
NIEBLING, LISA C | Treasurer | 11388 OKEECHOBEE BLVD., ROYAL PALM BEACH, FL 33411 |
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 |
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