Entity Name: | THE CENTRE FOR COUNSELING OF AVENTURA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 29 Jun 1995 (30 years ago) |
Document Number: | P95000051658 |
FEI/EIN Number | 650601504 |
Address: | 21110 BISCAYNE BLVD., SUITE 304, AVENTURA, FL, 33180 |
Mail Address: | 21110 BISCAYNE BLVD., SUITE 304, AVENTURA, FL, 33180 |
ZIP code: | 33180 |
County: | Miami-Dade |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518375658 | 2014-07-31 | 2014-07-31 | 21110 BISCAYNE BLVD, SUITE 304, AVENTURA, FL, 331801227, US | 21110 BISCAYNE BLVD, SUITE 304, AVENTURA, FL, 331801227, US | |||||||||||||||
|
Phone | +1 305-932-5500 |
Fax | 3059350466 |
Authorized person
Name | DR. L A GRABOIS |
Role | PRESIDENT |
Phone | 3059325500 |
Taxonomy
Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GRABOIS LORI | Agent | 21110 BISCAYNE BLVD, AVENTURA, FL, 33180 |
Name | Role | Address |
---|---|---|
GRABOIS LORI AM.D. | President | 21110 BISCAYNE BLVD. STE 304, AVENTURA, FL, 33180 |
Date of last update: 03 Jan 2025
Sources: Florida Department of State