| Entity Name: | THE FEDORA PSYCHOLOGICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Oct 2012 (12 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 02 Jul 2013 (12 years ago) |
| Document Number: | L12000126594 |
| FEI/EIN Number | 46-1292975 |
| Mail Address: | POST OFFICE BOX 49284, ST. PETERSBURG, FL 33743 |
| Address: | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285970277 | 2012-12-18 | 2016-05-13 | PO BOX 49284, SAINT PETERSBURG, FL, 337439284, US | 1913 TYRONE BLVD N, ST PETERSBURG, FL, 337104841, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 727-209-7792 |
| Fax | 8135011173 |
| Phone | +1 727-282-5573 |
Authorized person
| Name | DR. ROBERTO ALVES |
| Role | PRESIDENT |
| Phone | 7272097792 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY 8491 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | PY 8491 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY 8491 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 8491 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TP2701X - Group Psychotherapy Psychologist |
| License Number | PY 8491 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Sturdevant, Kristen Michaela, Dr. | Agent | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| Sturdevant, Kristen Michaela, Dr. | Manager | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-01 | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-01 | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT NAME CHANGED | 2023-04-30 | Sturdevant, Kristen Michaela, Dr. | No data |
| CHANGE OF MAILING ADDRESS | 2014-07-28 | 1911 Tyrone Blvd N, ST. PETERSBURG, FL 33710 | No data |
| LC NAME CHANGE | 2013-07-02 | THE FEDORA PSYCHOLOGICAL GROUP, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-16 |
| ANNUAL REPORT | 2020-02-23 |
| ANNUAL REPORT | 2019-03-12 |
| ANNUAL REPORT | 2018-05-03 |
| ANNUAL REPORT | 2017-03-31 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-24 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
