| Entity Name: | MARK D. DAVIS, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Feb 2014 (11 years ago) |
| Document Number: | L14000025359 |
| FEI/EIN Number | 46-4819292 |
| Address: | 2805 W Busch Blvd, suite #201, TAMPA, FL 33618 |
| Mail Address: | 2805 W Busch Blvd, suite #201, TAMPA, FL 33618 |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093114381 | 2014-08-22 | 2014-08-22 | 3820 NORTHDALE BLVD, SUITE 312 B, TAMPA, FL, 336241863, US | 3820 NORTHDALE BLVD, SUITE 312 B, TAMPA, FL, 336241863, US | |||||||||||||||||||
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| Phone | +1 813-968-3417 |
| Fax | 8139685051 |
Authorized person
| Name | MR. MARK D DAVIS |
| Role | OWNER |
| Phone | 8139683417 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW3987 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS, MARK D | Agent | 2805 W Busch Blvd, #201, TAMPA, FL 33618 |
| Name | Role | Address |
|---|---|---|
| DAVIS, MARK D | Authorized Member | 2805 W Busch Blvd, #201 TAMPA, FL 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G14000050135 | DAVIS SOUND MIND | EXPIRED | 2014-05-22 | 2024-12-31 | No data | 12960 NORTH DALE MABRY, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 2805 W Busch Blvd, suite #201, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-29 | 2805 W Busch Blvd, suite #201, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-29 | 2805 W Busch Blvd, #201, TAMPA, FL 33618 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-03 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-05-01 |
| ANNUAL REPORT | 2020-06-26 |
| ANNUAL REPORT | 2019-04-03 |
| ANNUAL REPORT | 2018-03-12 |
| ANNUAL REPORT | 2017-04-24 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-02-24 |
Date of last update: 22 Jan 2025
Sources: Florida Department of State
