| Entity Name: | THE GROWTH CENTER PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Feb 2006 (19 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 15 Oct 2015 (9 years ago) |
| Document Number: | L06000018041 |
| FEI/EIN Number | 20-4452353 |
| Address: | 14502 N Dale Mabry Hwy, Suite 200, TAMPA, FL 33618 |
| Mail Address: | 1716 west overpar drive, TAMPA, FL 33612 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366989097 | 2017-01-19 | 2017-01-19 | 2647 NARNIA WAY, LAND O LAKES, FL, 346387233, US | 2647 NARNIA WAY, LAND O LAKES, FL, 346387233, US | |||||||||||||||||||||||||||||||
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| Phone | +1 813-994-5595 |
Authorized person
| Name | THOMAS ANTONEK |
| Role | PSYCHOLOGIST |
| Phone | 8139945595 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH10508 |
| State | ZZ |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6278 |
| State | ZZ |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC |
| Number | 5NB27 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Parker, Kristin M | Agent | 1716 west overpar drive, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| Parker, Kristin M | Clinical Director | 1716 west overpar drive, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| Parker, Kristin M | Manager | 1716 west overpar drive, TAMPA, FL 33612 |
| Name | Role | Address |
|---|---|---|
| Parker, Kristin M | Owner | 1716 west overpar drive, TAMPA, FL 33612 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-23 | 1716 west overpar drive, TAMPA, FL 33612 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-09-02 | 14502 N Dale Mabry Hwy, Suite 200, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-09-02 | 14502 N Dale Mabry Hwy, Suite 200, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-05-07 | Parker, Kristin M | No data |
| REINSTATEMENT | 2015-10-15 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2015-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-02-20 |
| ANNUAL REPORT | 2019-05-07 |
| Reg. Agent Resignation | 2019-04-29 |
| ANNUAL REPORT | 2018-03-01 |
| ANNUAL REPORT | 2017-02-13 |
| AMENDED ANNUAL REPORT | 2016-05-03 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State
