| Entity Name: | GABRIELLE PETERSON, M.S. LMFT PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jan 2010 (15 years ago) |
| Document Number: | L10000002487 |
| FEI/EIN Number | 364665471 |
| Address: | 2631 N.W. 41ST BLDG.. E., GAINESVILLE, FL, 32606, US |
| Mail Address: | 717 SW 117th St, GAINESVILLE, FL, 32607, US |
| ZIP code: | 32606 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922322650 | 2010-03-24 | 2010-03-29 | 2631 NW 41ST ST, BLDG E, SUITE 1, GAINESVILLE, FL, 326067470, US | 2631 NW 41ST ST, BLDG E, SUITE 1, GAINESVILLE, FL, 326067470, US | |||||||||||||||||||
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| Phone | +1 352-367-1110 |
Authorized person
| Name | GABRIELLE THERESE PETERSON |
| Role | LMFT PLLC |
| Phone | 3523671110 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD INSURANCE |
| Number | Z3685 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PETERSON GABRIELLE | Agent | 2631 N.W. 41ST BLDG.. E., GAINESVILLE, FL, 32606 |
| Name | Role | Address |
|---|---|---|
| PETERSON GABRIELLE | Managing Member | 2631 N.W. 41ST BLDG.. E., GAINESVILLE, FL, 32606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-01-04 | 2631 N.W. 41ST BLDG.. E., GAINESVILLE, FL 32606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-05 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-04 |
| ANNUAL REPORT | 2022-01-04 |
| ANNUAL REPORT | 2021-01-04 |
| ANNUAL REPORT | 2020-01-06 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-09 |
| ANNUAL REPORT | 2017-01-16 |
| ANNUAL REPORT | 2016-01-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
