| Entity Name: | MARY DEAN ATWOOD PHD., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MARY DEAN ATWOOD PHD., LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 04 May 2012 (13 years ago) |
| Date of dissolution: | 28 Sep 2018 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (7 years ago) |
| Document Number: | L12000060614 |
| FEI/EIN Number |
71-1001905
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3947 35TH WAY S. #131, St. Petersburg, FL, 33711, US |
| Mail Address: | 3947 35TH WAY S. #131, St. Petersburg, FL, 33711, US |
| ZIP code: | 33711 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760435754 | 2006-05-18 | 2012-05-03 | 4070 OAKHURST DR, SARASOTA, FL, 342331444, US | 4070 OAKHURST DR, SARASOTA, FL, 342331444, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 941-487-7890 |
| Fax | 9414877890 |
Authorized person
| Name | MARY DEAN ATWOOD |
| Role | PRESIDENT/PSYCHOLOGIST |
| Phone | 9414877890 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 550 |
| State | NM |
| Is Primary | Yes |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 550 |
| State | NM |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 62786768 |
| State | NM |
| Name | Role | Address |
|---|---|---|
| Atwood Mary DPhd | Manager | 3947 35TH WAY S. #131, St. Petersburg, FL, 33711 |
| ATWOOD MARY dPhd | Agent | 3947 35TH WAY S. #131, St. Petersburg, FL, 33711 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | - | - |
| LC REVOCATION OF DISSOLUTION | 2017-03-14 | - | - |
| VOLUNTARY DISSOLUTION | 2017-01-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2016-10-31 | ATWOOD, MARY dean, Phd | - |
| REINSTATEMENT | 2016-10-31 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | - | - |
| CHANGE OF MAILING ADDRESS | 2015-02-23 | 3947 35TH WAY S. #131, St. Petersburg, FL 33711 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2015-02-23 | 3947 35TH WAY S. #131, St. Petersburg, FL 33711 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2015-02-23 | 3947 35TH WAY S. #131, St. Petersburg, FL 33711 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-05 |
| LC Revocation of Dissolution | 2017-03-14 |
| VOLUNTARY DISSOLUTION | 2017-01-17 |
| REINSTATEMENT | 2016-10-31 |
| ANNUAL REPORT | 2015-02-23 |
| ANNUAL REPORT | 2014-03-19 |
| ANNUAL REPORT | 2013-03-13 |
| Florida Limited Liability | 2012-05-04 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
