| Entity Name: | FLORIDA PSYCHOLOGY CENTER LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Oct 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: | L15000176601 |
| FEI/EIN Number | 47-5334259 |
| Mail Address: | 2705 Via Murano, Clearwater, FL, 33764, US |
| Address: | 916 N GADSDEN STREET, TALLAHASSEE, FL, 32303, US |
| ZIP code: | 32303 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518339944 | 2015-10-25 | 2015-10-25 | 8819 MINNOW CREEK DR, TALLAHASSEE, FL, 323125041, US | 1030 E LAFAYETTE ST STE 8, TALLAHASSEE, FL, 323014547, US | |||||||||||||||||
|
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| Phone | +1 201-484-9383 |
Authorized person
| Name | DR. COLLEEN MOCCO |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 2014849383 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY9289 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROOMS COLLEEN MPH.D. | Agent | 2705 Via Murano, Clearwater, FL, 33764 |
| Name | Role | Address |
|---|---|---|
| Crooms Colleen MDR | Manager | 2705 Via Murano, Clearwater, FL, 33764 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-03-09 | 2705 Via Murano, 118, Clearwater, FL 33764 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-09 | 916 N GADSDEN STREET, TALLAHASSEE, FL 32303 | No data |
| REGISTERED AGENT NAME CHANGED | 2017-12-08 | CROOMS, COLLEEN M, PH.D. | No data |
| LC STMNT OF RA/RO CHG | 2017-12-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-10-31 | 916 N GADSDEN STREET, TALLAHASSEE, FL 32303 | No data |
| LC DISSOCIATION MEM | 2016-03-04 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-03-09 |
| ANNUAL REPORT | 2018-03-26 |
| CORLCRACHG | 2017-12-08 |
| ANNUAL REPORT | 2017-01-25 |
| ANNUAL REPORT | 2016-03-16 |
| CORLCDSMEM | 2016-03-04 |
| Florida Limited Liability | 2015-10-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
