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LARSON PSYCHOLOGICAL SERVICES, LLC - Florida Company Profile

Company Details

Entity Name: LARSON PSYCHOLOGICAL SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

LARSON PSYCHOLOGICAL SERVICES, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 01 Jun 2016 (9 years ago)
Document Number: L16000106515
FEI/EIN Number 81-2856824

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 122 4TH AVENUE, SUITE 200, INDIALANTIC, FL, 32903, US
Mail Address: 122 4TH AVENUE, SUITE 200, INDIALANTIC, FL, 32903, US
ZIP code: 32903
County: Brevard
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447609649 2016-06-08 2016-06-08 122 4TH AVE, SUITE 200, INDIALANTIC, FL, 329033112, US 122 4TH AVE, SUITE 200, INDIALANTIC, FL, 329033112, US

Contacts

Phone +1 321-327-3793

Authorized person

Name DR. MOLLY LARSON
Role CLINICAL PSYCHOLOGIST
Phone 3213273793

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY9437
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
LARSON MOLLY Manager 122 4TH AVENUE, SUITE 200, INDIALANTIC, FL, 32903
PROCTOR DARBY Authorized Person 1854 FICUS POINT DRIVE, MELBOURNE, FL, 32940
LARSON MOLLY Agent 122 4TH AVENUE, INDIALANTIC, FL, 32903

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-04-01 122 4TH AVENUE, SUITE 200, INDIALANTIC, FL 32903 -
CHANGE OF MAILING ADDRESS 2025-04-01 122 4TH AVENUE, SUITE 200, INDIALANTIC, FL 32903 -

Documents

Name Date
ANNUAL REPORT 2025-02-10
ANNUAL REPORT 2024-03-11
ANNUAL REPORT 2023-04-08
ANNUAL REPORT 2022-02-01
ANNUAL REPORT 2021-01-19
ANNUAL REPORT 2020-01-13
ANNUAL REPORT 2019-04-23
ANNUAL REPORT 2018-04-07
ANNUAL REPORT 2017-07-05
Florida Limited Liability 2016-06-01

Date of last update: 02 Mar 2025

Sources: Florida Department of State