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  5. PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC

PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC

Company Details

Entity Name: PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 13 May 2013 (12 years ago)
Document Number: L13000070073
FEI/EIN Number 46-2758854
Address: 2521 13TH STREET, SUITE F, SAINT CLOUD, FL, 34769, US
Mail Address: 2521 13TH STREET, SUITE F, SAINT CLOUD, FL, 34769, US
ZIP code: 34769
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891131637 2013-05-20 2022-02-25 2521 13TH ST, SUITE F, SAINT CLOUD, FL, 347694119, US 2521 13TH ST, SUITE F, SAINT CLOUD, FL, 347694119, US

Contacts
Phone +1 407-900-4885
Fax 8665159293

Authorized person
Name YAMILA SANTOS
Role PSYCHOLOGIST
Phone 4079004885

Taxonomy
Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA 401(K) PLAN 2023 462758854 2024-05-13 PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 4079004885
Plan sponsor’s address 2521 13TH ST, SUITE F, ST CLOUD, FL, 34769

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2024-05-13
Name of individual signing QIAN LIU
Valid signature Filed with authorized/valid electronic signature
PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA 401(K) PLAN 2022 462758854 2023-05-27 PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 4079004885
Plan sponsor’s address 2521 13TH ST, SUITE F, ST CLOUD, FL, 34769

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2023-05-27
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA 401(K) PLAN 2021 462758854 2022-05-19 PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 4079004885
Plan sponsor’s address 2521 13TH ST, SUITE F, ST CLOUD, FL, 34769

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2022-05-19
Name of individual signing CHRISTINE RIMER
Valid signature Filed with authorized/valid electronic signature
PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA 401(K) PLAN 2020 462758854 2021-04-30 PRIMARY PSYCHOLOGY OF CENTRAL FLORIDA, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2020-01-01
Business code 621330
Sponsor’s telephone number 4079004885
Plan sponsor’s address 2521 13TH ST, SUITE F, ST CLOUD, FL, 34769

Plan administrator’s name and address
Administrator’s EIN 474474775
Plan administrator’s name GUIDELINE, INC.
Plan administrator’s address 3050 S DELAWARE ST, #202, SAN MATEO, CA, 94403
Administrator’s telephone number 8882283491

Signature of
Role Plan administrator
Date 2021-04-30
Name of individual signing CAROL HO
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
SANTOS YAMILA Agent 2521 13TH STREET, SUITE F, SAINT CLOUD, FL, 34769

Managing Member

Name Role Address
SANTOS YAMILA Managing Member 2521 13TH STREET, SUITE F, SAINT CLOUD, FL, 34769

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2017-03-24 2521 13TH STREET, SUITE F, SAINT CLOUD, FL 34769 No data
CHANGE OF MAILING ADDRESS 2017-03-24 2521 13TH STREET, SUITE F, SAINT CLOUD, FL 34769 No data
REGISTERED AGENT ADDRESS CHANGED 2017-03-24 2521 13TH STREET, SUITE F, SAINT CLOUD, FL 34769 No data

Documents

Name Date
ANNUAL REPORT 2024-04-24
ANNUAL REPORT 2023-01-22
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-02-12
ANNUAL REPORT 2020-01-17
ANNUAL REPORT 2019-03-11
ANNUAL REPORT 2018-03-02
ANNUAL REPORT 2017-03-24
ANNUAL REPORT 2016-03-08
ANNUAL REPORT 2015-02-21

Related by officers

SANTOS YAMILA

SANTOS CLINICAL RESEARCH, INC GENERAL PROFESSIONAL SERVICES CORP. S & CO ACCOUNTING SERVICES LLC

Related by address

No related companies by address

Date of last update: 01 Feb 2025

Sources: Florida Department of State

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