| Entity Name: | HEUN COMPREHENSIVE PSYCHOLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 24 Feb 2014 (11 years ago) |
| Date of dissolution: | 29 Jun 2017 (8 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jun 2017 (8 years ago) |
| Document Number: | L14000030627 |
| FEI/EIN Number | 46-4877508 |
| Address: | 2102 W Platt St, Suite 106, TAMPA, FL 33606 |
| Mail Address: | 2102 W Platt St, Suite 106, TAMPA, FL 33606 |
| ZIP code: | 33606 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1265831804 | 2014-08-20 | 2016-02-15 | 2102 W PLATT ST, SUITE 106, TAMPA, FL, 336061769, US | 2102 W PLATT ST, SUITE 106, TAMPA, FL, 336061769, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 813-343-0830 |
| Fax | 8134895469 |
Authorized person
| Name | DR. SHANNA B. HEUN |
| Role | OWNER, OPERATOR, PROVIDER |
| Phone | 8133430830 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8953 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| License Number | PY8953 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8953 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY8953 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY8953 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| HEUN, SHANNA B, DR | Agent | 2102 W Platt St, Suite 106, TAMPA, FL 33606 |
| Name | Role | Address |
|---|---|---|
| HEUN, SHANNA B, DR | Authorized Member | 2102 W Platt St, Suite 106 TAMPA, FL 33606 |
| HEUN, TYLER J | Authorized Member | 2102 W Platt St, Suite 106 TAMPA, FL 33606 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000002723 | TAMPA BAY PSYCHOLOGY | EXPIRED | 2016-01-06 | 2021-12-31 | No data | 2102 W PLATT STREET, SUITE B, TAMPA, FL, 33606 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2017-06-29 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-02-21 | 2102 W Platt St, Suite 106, TAMPA, FL 33606 | No data |
| CHANGE OF MAILING ADDRESS | 2016-02-21 | 2102 W Platt St, Suite 106, TAMPA, FL 33606 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-02-21 | 2102 W Platt St, Suite 106, TAMPA, FL 33606 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-02-21 |
| ANNUAL REPORT | 2015-02-21 |
| Florida Limited Liability | 2014-02-24 |
Date of last update: 21 Feb 2025
Sources: Florida Department of State
