| Entity Name: | PSYCHOLOGICAL CARE AND CONSULTATION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 30 Nov 2005 (19 years ago) |
| Date of dissolution: | 29 Sep 2020 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Sep 2020 (4 years ago) |
| Document Number: | L05000114327 |
| FEI/EIN Number | 010850834 |
| Address: | 9214 NW 24TH LANE, GAINESVILLE, FL, 32606 |
| Mail Address: | 9214 NW 24th Lane, GAINESVILLE, FL, 32606, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134282015 | 2006-12-19 | 2020-08-22 | PO BOX 358372, GAINESVILLE, FL, 326358372, US | 9214 NW 24TH LN, GAINESVILLE, FL, 326069143, US | |||||||||||||||||||
|
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| Phone | +1 352-281-8526 |
| Fax | 3523318341 |
Authorized person
| Name | DR. KHALIL A SAKALLA |
| Role | OWNER PROVIDER |
| Phone | 3522818526 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 7142 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SAKALLA KHALIL A | Agent | 9214 NW 24TH LANE, GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| SAKALLA KHALIL A | Managing Member | 9214 NW 24TH LANE, GAINESVILLE, FL, 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-29 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-14 | 9214 NW 24TH LANE, GAINESVILLE, FL 32606 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-01-06 | 9214 NW 24TH LANE, GAINESVILLE, FL 32606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-01-06 | 9214 NW 24TH LANE, GAINESVILLE, FL 32606 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2020-09-29 |
| ANNUAL REPORT | 2020-02-04 |
| ANNUAL REPORT | 2019-04-02 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-10 |
| ANNUAL REPORT | 2016-01-26 |
| ANNUAL REPORT | 2015-02-06 |
| ANNUAL REPORT | 2014-01-14 |
| ANNUAL REPORT | 2013-02-09 |
| ANNUAL REPORT | 2012-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
