| Entity Name: | JENNIFER BAPTIE, LMHC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 24 Feb 2016 (9 years ago) |
| Date of dissolution: | 22 Sep 2023 (a year ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (a year ago) |
| Document Number: | L16000038469 |
| FEI/EIN Number | 81-1600361 |
| Address: | 25400 U.S. Hwy 19 N., Clearwater, FL, 33763, US |
| Mail Address: | 25400 U.S. Hwy 19 N., Clearwater, FL, 33763, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811357247 | 2016-02-26 | 2016-10-09 | 4072 EVERETT AVE, SPRING HILL, FL, 346092444, US | 2430 ESTANCIA BLVD STE 100A, CLEARWATER, FL, 337612644, US | |||||||||||||||||||||||||
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| Phone | +1 727-271-1000 |
| Fax | 3526062436 |
Authorized person
| Name | MRS. JENNIFER ALANA BAPTIE |
| Role | LMHC |
| Phone | 7272711000 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12761 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 12986800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Murray JENNIFER A | Agent | 25400 U.S. Hwy 19 N., Clearwater, FL, 33763 |
| Name | Role | Address |
|---|---|---|
| Murray Jennifer A | President | 25400 U.S. Hwy 19 N., Clearwater, FL, 33763 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-20 | 25400 U.S. Hwy 19 N., Suite 156, Clearwater, FL 33763 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-20 | 25400 U.S. Hwy 19 N., Suite 156, Clearwater, FL 33763 | No data |
| REGISTERED AGENT NAME CHANGED | 2020-06-20 | Murray, JENNIFER A | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-20 | 25400 U.S. Hwy 19 N., Suite 156, Clearwater, FL 33763 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-28 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-06-20 |
| ANNUAL REPORT | 2019-02-09 |
| ANNUAL REPORT | 2018-03-21 |
| ANNUAL REPORT | 2017-02-11 |
| Florida Limited Liability | 2016-02-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
