| Entity Name: | ALLIANCE PSYCHOLOGICAL, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 16 Mar 1998 (27 years ago) |
| Document Number: | P98000024581 |
| FEI/EIN Number | 650820530 |
| Address: | 2915 Biscayne Blvd Ste 300, Miami, FL, 33137, US |
| Mail Address: | 506 NE 91ST ST, MIAMI SHORES, FL, 33138, US |
| ZIP code: | 33137 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063680643 | 2008-02-15 | 2008-02-15 | 407 LINCOLN RD STE 6K, MIAMI BEACH, FL, 331393023, US | 407 LINCOLN RD STE 6K, MIAMI BEACH, FL, 331393023, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-672-1104 |
Authorized person
| Name | DR. KENNETH CHRISTIANSEN |
| Role | PSYCHOLOGIST |
| Phone | 3056721104 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY5813 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRITO GEORGE L | Agent | 407 LINCOLN RD, STE 9A, MIAMI BEACH, FL, 33139 |
| Name | Role | Address |
|---|---|---|
| CHRISTIANSEN KENNETH | President | 2915 Biscayne Blvd Ste 300, Miami, FL, 33137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-02-24 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| REINSTATEMENT | 2011-09-28 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
