| Entity Name: | PSYCHOLOGY CENTER FOR WELLNESS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 12 Jun 2007 (18 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | L07000062278 |
| FEI/EIN Number | 26-0373082 |
| Address: | 118 W. PLYMOUTH ST., TAMPA, FL 33603 |
| Mail Address: | 118 W. PLYMOUTH ST., TAMPA, FL 33603 |
| ZIP code: | 33603 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639325186 | 2008-08-15 | 2008-08-15 | 308 E OAK AVE, TAMPA, FL, 336022344, US | 308 E OAK AVE, TAMPA, FL, 336022344, US | |||||||||||||||||||||||||
|
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| Phone | +1 813-810-8110 |
| Fax | 8132255678 |
Authorized person
| Name | ROBERT J PORTER |
| Role | PRESIDENT |
| Phone | 8138108110 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6542 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BSFL |
| Number | 54803 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RAMOS, JOSE S | Agent | 118 W. PLYMOUTH ST., TAMPA, FL 33603 |
| Name | Role | Address |
|---|---|---|
| PORTER, ROBERT J | Managing Member | 118 W. PLYMOUTH ST., TAMPA, FL 33603 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2008-09-04 | 118 W. PLYMOUTH ST., TAMPA, FL 33603 | No data |
| CHANGE OF MAILING ADDRESS | 2008-09-04 | 118 W. PLYMOUTH ST., TAMPA, FL 33603 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2008-09-04 | 118 W. PLYMOUTH ST., TAMPA, FL 33603 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J10000326089 | ACTIVE | 1000000156872 | HILLSBOROU | 2010-01-20 | 2030-02-16 | $ 2,520.80 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-09-04 |
| Florida Limited Liability | 2007-06-12 |
Date of last update: 27 Jan 2025
Sources: Florida Department of State
