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JACQUELINE L WILLIAMS, PHD, LMFT

Company Details

Entity Name: JACQUELINE L WILLIAMS, PHD, LMFT
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 27 Feb 2012 (13 years ago)
Date of dissolution: 17 Mar 2016 (9 years ago)
Last Event: LC VOLUNTARY DISSOLUTION
Event Date Filed: 17 Mar 2016 (9 years ago)
Document Number: L12000027449
FEI/EIN Number 45-4648729
Address: 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL, 32746, US
Mail Address: 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL, 32746, US
ZIP code: 32746
County: Seminole
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1841558988 2012-04-26 2012-04-26 1540 INTERNATIONAL PKWY, STE 2000, HEATHROW, FL, 327464713, US 1540 INTERNATIONAL PKWY, STE 2000, HEATHROW, FL, 327464713, US

Contacts

Phone +1 407-956-5773
Fax 4075365301

Authorized person

Name DR. JACQUELINE L WILLIAMS
Role OWNER
Phone 4079565773

Taxonomy

Taxonomy Code 106H00000X - Marriage & Family Therapist
License Number MT 2384
State FL
Is Primary Yes

Agent

Name Role Address
WILLIAMS JACQUELINE L Agent 3599 W Lake Mary Blvd, Lake Mary, FL, 32746

Managing Member

Name Role Address
WILLIAMS JACQUELINE L Managing Member 3599 W Lake Mary Blvd, Lake Mary, FL, 32746

Events

Event Type Filed Date Value Description
LC VOLUNTARY DISSOLUTION 2016-03-17 No data No data
CHANGE OF PRINCIPAL ADDRESS 2015-01-12 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL 32746 No data
CHANGE OF MAILING ADDRESS 2015-01-12 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL 32746 No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-12 3599 W Lake Mary Blvd, Suite B, Lake Mary, FL 32746 No data

Documents

Name Date
LC Voluntary Dissolution 2016-03-17
ANNUAL REPORT 2015-01-12
ANNUAL REPORT 2014-01-09
ANNUAL REPORT 2013-01-17
Florida Limited Liability 2012-02-27

Date of last update: 03 Feb 2025

Sources: Florida Department of State