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LIFESPAN PSYCHOLOGY SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: LIFESPAN PSYCHOLOGY SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LIFESPAN PSYCHOLOGY SERVICES, 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 18 May 2012 (13 years ago)
Document Number: L12000067374
FEI/EIN Number 45-5325823

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 4882 Majestic Hills Loop, #1603, Brooksville, FL, 34601, US
Mail Address: 4882 MAJESTIC HILLS LOOP, BROOKSVILLE, FL, 34601, US
ZIP code: 34601
County: Hernando
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770844433 2012-05-30 2012-05-30 4201 BAYSHORE BLVD, UNIT 1603, TAMPA, FL, 336111669, US 4201 BAYSHORE BLVD, UNIT 1603, TAMPA, FL, 336111669, US

Contacts

Phone +1 617-784-0771

Authorized person

Name DR. ATHENA BOOLUKOS GORDON
Role PRESIDENT
Phone 6177840771

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Key Officers & Management

Name Role Address
GORDON ATHENA Agent 4882 MAJESTIC HILLS LOOP, BROOKSVILLE, FL, 34601
GORDON ATHENA B Manager 4882 MAJESTIC HILLS LOOP, BROOKSVILLE, FL, 34601

Events

Event Type Filed Date Value Description
CHANGE OF MAILING ADDRESS 2024-02-24 4882 Majestic Hills Loop, #1603, Brooksville, FL 34601 -
REGISTERED AGENT NAME CHANGED 2024-02-24 GORDON, ATHENA -
REGISTERED AGENT ADDRESS CHANGED 2024-02-24 4882 MAJESTIC HILLS LOOP, BROOKSVILLE, FL 34601 -
CHANGE OF PRINCIPAL ADDRESS 2023-05-09 4882 Majestic Hills Loop, #1603, Brooksville, FL 34601 -

Documents

Name Date
ANNUAL REPORT 2024-02-24
ANNUAL REPORT 2023-02-05
ANNUAL REPORT 2022-01-24
ANNUAL REPORT 2021-02-01
ANNUAL REPORT 2020-02-02
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-04
ANNUAL REPORT 2017-02-11
ANNUAL REPORT 2016-02-20
ANNUAL REPORT 2015-02-11

Date of last update: 02 May 2025

Sources: Florida Department of State