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OAKBROOK COUNSELING CENTER, P. A.

Company Details

Entity Name: OAKBROOK COUNSELING CENTER, P. A.
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 26 Apr 1995 (30 years ago)
Document Number: P95000032781
FEI/EIN Number 65-0600768
Address: 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319
Mail Address: 4804 W. COMMERCIAL BLVD., FT. LAUDERDALE, FL 33319
ZIP code: 33319
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134334030 2007-05-14 2020-08-22 5950 W OAKLAND PARK BLVD, SUITE 107, LAUDERHILL, FL, 333131238, US 5950 W OAKLAND PARK BLVD, SUITE 107, LAUDERHILL, FL, 333131238, US

Contacts

Phone +1 954-735-6240
Fax 9547356240

Authorized person

Name DR. JOHN W. MORIN
Role PRESIDENT
Phone 9547356240

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
MORIN, JOHN W. Agent 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319

President

Name Role Address
MORIN, JOHN W President 4804 W. COMMERCIAL BLVD., FT. LAUDERDALE, FL 33319

Vice President

Name Role Address
Levenson, Jill Sheryl, Dr. Vice President 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2015-01-16 MORIN, JOHN W. No data
CHANGE OF PRINCIPAL ADDRESS 2011-03-21 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319 No data
REGISTERED AGENT ADDRESS CHANGED 2011-03-21 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319 No data
CHANGE OF MAILING ADDRESS 2010-11-18 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319 No data

Documents

Name Date
ANNUAL REPORT 2024-03-19
ANNUAL REPORT 2023-03-01
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-04
ANNUAL REPORT 2020-01-22
ANNUAL REPORT 2019-01-29
ANNUAL REPORT 2018-01-15
ANNUAL REPORT 2017-01-06
ANNUAL REPORT 2016-03-13
ANNUAL REPORT 2015-01-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State