| Entity Name: | TERRY E DAVIS, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Apr 2012 (13 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | L12000055479 |
| FEI/EIN Number | 45-5132616 |
| Address: | 2701 W. Oakland Park Blvd., OAKLAND PARK, FL, 33311, US |
| Mail Address: | 2761 S OAKLAND FOREST DR APT 102, OAKLAND PARK, FL, 33309 |
| ZIP code: | 33311 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346505112 | 2012-07-09 | 2012-07-09 | 2701 W OAKLAND PARK BLVD, 225C, OAKLAND PARK, FL, 333111388, US | 2701 W OAKLAND PARK BLVD, 225C, OAKLAND PARK, FL, 333111388, US | |||||||||||||||||||
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| Phone | +1 954-731-5505 |
| Fax | 9547315504 |
Authorized person
| Name | MR. TERRY DAVIS |
| Role | OWNER/MANAGER |
| Phone | 9547315505 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW10792 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS TERRY E | Agent | 2761 S OAKLAND FOREST DR, OAKLAND PARK, FL, 33309 |
| Name | Role | Address |
|---|---|---|
| DAVIS TERRY E | Manager | 2761 S OAKLAND FOREST DR, OAKLAND PARK, FL, 33309 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-04-29 | 2701 W. Oakland Park Blvd., 225C, OAKLAND PARK, FL 33311 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2013-04-29 | 2761 S OAKLAND FOREST DR, 102, OAKLAND PARK, FL 33309 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-04-29 |
| Florida Limited Liability | 2012-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
