| Entity Name: | PREMIER PSYCHOLOGY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 Feb 2014 (11 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 08 Feb 2019 (6 years ago) |
| Document Number: | L14000028519 |
| FEI/EIN Number | 46-4891182 |
| Mail Address: | 830 ANCHOR RODE DRIVE, NAPLES, FL, 34103, US |
| Address: | 830 Anchor Rode Drive, Naples, FL, 34103, US |
| ZIP code: | 34103 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023417433 | 2014-08-21 | 2021-09-10 | 830 ANCHOR RODE DR, NAPLES, FL, 341032739, US | 830 ANCHOR RODE DR, NAPLES, FL, 341032739, US | |||||||||||||||||||
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| Phone | +1 239-234-6333 |
| Fax | 2392346413 |
Authorized person
| Name | DR. MARISSA MARIE PETRALIA |
| Role | PRESIDENT |
| Phone | 2392346333 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8173 |
| State | FL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PREMIER PSYCHOLOGY PLLC 401K PLAN | 2023 | 464891182 | 2024-06-12 | PREMIER PSYCHOLOGY PLLC | 4 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-12 |
| Name of individual signing | MARISSA PETRALIA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| PETRALIA MARISSA MPHD | Agent | 830 Anchor Rode Drive, Naples, FL, 34103 |
| Name | Role | Address |
|---|---|---|
| Petralia Marissa M | Authorized Member | 830 Anchor Rode Drive, Naples, FL, 34103 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-04-04 | 830 Anchor Rode Drive, Naples, FL 34103 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-04 | 830 Anchor Rode Drive, Naples, FL 34103 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-09 | 830 Anchor Rode Drive, Naples, FL 34103 | No data |
| LC STMNT OF RA/RO CHG | 2019-02-08 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2019-02-08 | PETRALIA, MARISSA M, PHD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-13 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-04 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-29 |
| CORLCRACHG | 2019-02-08 |
| ANNUAL REPORT | 2018-04-17 |
| ANNUAL REPORT | 2017-02-27 |
| ANNUAL REPORT | 2016-03-17 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
