| Entity Name: | SUZANNE LAVELLE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Jul 2011 (14 years ago) |
| Document Number: | L11000078091 |
| FEI/EIN Number | 452709424 |
| Address: | 625 COMMERCE DRIVE, LAKELAND, FL, 33813, US |
| Mail Address: | 625 Commerce Drive, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568943777 | 2018-08-25 | 2022-06-04 | 625 COMMERCE DR STE 104, LAKELAND, FL, 338132733, US | 625 COMMERCE DR STE 104, LAKELAND, FL, 338132733, US | |||||||||||||||||||
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| Phone | +1 863-732-9300 |
| Fax | 8637329303 |
Authorized person
| Name | DR. SUZANNE LAVELLE |
| Role | OWNER |
| Phone | 8133851632 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8288 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAVELLE SUZANNE | Agent | 625 COMMERCE DRIVE, LAKELAND, FL, 33813 |
| Name | Role | Address |
|---|---|---|
| LAVELLE SUZANNE | Managing Member | 625 COMMERCE DRIVE, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000060378 | LAKELAND PSYCHOLOGY | ACTIVE | 2022-05-13 | 2027-12-31 | No data | 625 COMMERCE DR, SUITE 104, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-15 | 625 COMMERCE DRIVE, Suite 104, LAKELAND, FL 33813 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-15 | 625 COMMERCE DRIVE, Suite 104, LAKELAND, FL 33813 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-06-04 | 625 COMMERCE DRIVE, Suite 104, LAKELAND, FL 33813 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-12 |
| ANNUAL REPORT | 2023-04-15 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-06-30 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-04-30 |
| ANNUAL REPORT | 2016-04-28 |
| ANNUAL REPORT | 2015-03-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
