| Entity Name: | TILLMAN THERAPEUTIC SERVICES, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 11 Sep 2015 (9 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | L15000155172 |
| FEI/EIN Number | 47-5101472 |
| Address: | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 |
| Mail Address: | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 |
| ZIP code: | 34240 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841664836 | 2015-11-14 | 2015-11-14 | 5530 GOODPASTURE GLN, BRADENTON, FL, 342114000, US | 1808 ORCHID ST, SARASOTA, FL, 342395131, US | |||||||||||||||||||||||||
|
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| Phone | +1 941-313-7040 |
Authorized person
| Name | GINA TILLMAN |
| Role | ADULT & FAMILY THERAPIST |
| Phone | 9413137040 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW12758 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW12757 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Tillman, Steven | Agent | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 |
| Name | Role | Address |
|---|---|---|
| TILLMAN, STEVEN O | Authorized Member | 5337 PAYLOR LANE,, SUITE 200 SARASOTA, FL 34240 |
| TILLMAN, GINA M | Authorized Member | 5337 PAYLOR LANE,, SUITE 200 SARASOTA, FL 34240 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-15 | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2018-12-12 | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 | No data |
| CHANGE OF MAILING ADDRESS | 2018-12-12 | 5337 PAYLOR LANE,, SUITE 200, SARASOTA, FL 34240 | No data |
| REINSTATEMENT | 2017-05-01 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-05-01 | Tillman, Steven | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-15 |
| ANNUAL REPORT | 2018-03-07 |
| REINSTATEMENT | 2017-05-01 |
| Florida Limited Liability | 2015-09-11 |
Date of last update: 19 Feb 2025
Sources: Florida Department of State
