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 |
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 | |||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
MORIN, JOHN W. | Agent | 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319 |
Name | Role | Address |
---|---|---|
MORIN, JOHN W | President | 4804 W. COMMERCIAL BLVD., FT. LAUDERDALE, FL 33319 |
Name | Role | Address |
---|---|---|
Levenson, Jill Sheryl, Dr. | Vice President | 4804 W. COMMERCIAL BLVD., FORT LAUDERDALE, FL 33319 |
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 |
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