| Entity Name: | DANIEL VAN INGEN, PSY.D. LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Jan 2011 (14 years ago) |
| Document Number: | L11000008278 |
| FEI/EIN Number | 274697747 |
| Address: | 624 OAK BAY DRIVE, OSPREY, FL, 34229 |
| Mail Address: | 624 OAK BAY DRIVE, OSPREY, FL, 34229 |
| ZIP code: | 34229 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548677321 | 2014-07-14 | 2014-07-14 | 5602 MARQUESAS CIR, #102-7, SARASOTA, FL, 342333310, US | 5602 MARQUESAS CIR, #102-7, SARASOTA, FL, 342333310, US | |||||||||||||||||
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| Phone | +1 612-501-5358 |
Authorized person
| Name | DAN VAN INGEN |
| Role | OWNER |
| Phone | 6125015358 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7918 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VAN INGEN DANIEL J | Agent | 624 OAK BAY DR., OSPREY, FL, 34229 |
| Name | Role | Address |
|---|---|---|
| VAN INGEN DANIEL | Manager | 624 OAK BAY DRIVE, OSPREY, FL, 34229 |
| Name | Role | Address |
|---|---|---|
| van Ingen Daniel Dr. | President | 624 Oak Bay Dr., Osprey, FL, 34229 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000036753 | ANXIETY SHRINKS! | EXPIRED | 2014-04-13 | 2019-12-31 | No data | 5602 MARQUESAS CIRCLE #102-7, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2012-04-10 | VAN INGEN, DANIEL J | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-04-10 | 624 OAK BAY DR., OSPREY, FL 34229 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-04 |
| ANNUAL REPORT | 2023-01-27 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-31 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-03-18 |
| ANNUAL REPORT | 2017-01-11 |
| ANNUAL REPORT | 2016-01-27 |
| ANNUAL REPORT | 2015-02-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
