Search icon

KRISTI VAN SICKLE, PSYD, LLC - Florida Company Profile

Company claim

Is this your business?

Get access!

Company Details

Entity Name: KRISTI VAN SICKLE, PSYD, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 06 Apr 2015 (10 years ago)
Last Event: LC STMNT OF RA/RO CHG
Event Date Filed: 20 Oct 2017 (8 years ago)
Document Number: L15000060240
FEI/EIN Number 47-3657473
Address: DBA COLLABORATIVE PSYCHOLOGICAL SERVICES, 163 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701, US
Mail Address: DBA COLLABORATIVE PSYCHOLOGICAL SERVICES, 163 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701, US
ZIP code: 33701
City: Saint Petersburg
County: Pinellas
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
VAN SICKLE KRISTI S Authorized Representative 151 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701
VAN SICKLE PAUL B Authorized Representative 151 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701
VAN SICKLE KRISTI S Agent 151 5TH AVE NE, SAINT PETERSBURG, FL, 33701

National Provider Identifier

NPI Number:
1902292725
Certification Date:
2022-07-13

Authorized Person:

Name:
KRISTI SANDS VAN SICKLE
Role:
OWNER/PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G17000120500 COLLABORATIVE PSYCHOLOGICAL SERVICES EXPIRED 2017-11-01 2022-12-31 - 151 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701
G17000113954 COLLLABORATIVE PSYCHOLOGICAL SERVICES ACTIVE 2017-10-16 2027-12-31 - 163 5TH AVENUE NE, SAINT PETERSBURG, FL, 33701

Events

Event Type Filed Date Value Description
LC STMNT OF RA/RO CHG 2017-10-20 - -
CHANGE OF PRINCIPAL ADDRESS 2017-10-20 DBA COLLABORATIVE PSYCHOLOGICAL SERVICES, 163 5TH AVENUE NE, SAINT PETERSBURG, FL 33701 -
CHANGE OF MAILING ADDRESS 2017-10-20 DBA COLLABORATIVE PSYCHOLOGICAL SERVICES, 163 5TH AVENUE NE, SAINT PETERSBURG, FL 33701 -
REGISTERED AGENT NAME CHANGED 2017-10-20 VAN SICKLE, KRISTI S -
REGISTERED AGENT ADDRESS CHANGED 2017-10-20 151 5TH AVE NE, SAINT PETERSBURG, FL 33701 -

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-01-31
ANNUAL REPORT 2023-01-28
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-13
ANNUAL REPORT 2020-01-23
ANNUAL REPORT 2019-02-14
ANNUAL REPORT 2018-03-31
CORLCRACHG 2017-10-20
ANNUAL REPORT 2017-02-12

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 01 Aug 2025

Sources: Florida Department of State