| Entity Name: | CLEARPOINT PSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 20 Sep 2016 (8 years ago) |
| Last Event: | LC NAME CHANGE |
| Event Date Filed: | 22 Sep 2016 (8 years ago) |
| Document Number: | L16000175901 |
| FEI/EIN Number | 81-3942743 |
| Address: | 2201 CENTRAL AVENUE, STE. 300, ST. PETERSBURG, FL, 33713, US |
| Mail Address: | 13796 MARSEILLES CT, CLEARWATER, FL, 33762, US |
| ZIP code: | 33713 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942793260 | 2018-06-11 | 2018-06-11 | 2201 CENTRAL AVE STE 300, ST PETERSBURG, FL, 337138844, US | 2201 CENTRAL AVE STE 300, ST PETERSBURG, FL, 337138844, US | |||||||||||||||||||||||||||
|
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| Phone | +1 727-388-9003 |
Authorized person
| Name | DAWN SUKSANONG |
| Role | SOLE MEMBER |
| Phone | 7273889003 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9286 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPPES |
| Number | 1265877930 |
| Issuer | FLORIDA BOARD OF PSYCHOLOGY |
| Number | PY9286 |
| State | FL |
| Name | Role |
|---|---|
| SPOOR LAW, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SUKSANONG DAWN | Manager | 13796 MARSEILLES CT., CLEARWATER, FL, 33762 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G16000107159 | CLEARPOINT PSYCHOLOGY | ACTIVE | 2016-09-29 | 2027-12-31 | No data | 13796 MARSEILLES CT, CLEARWATER, FL, 33762 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2019-02-10 | 877 EXECUTIVE CENTER DR W, SUITE 100, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2017-04-30 | 2201 CENTRAL AVENUE, STE. 300, ST. PETERSBURG, FL 33713 | No data |
| LC NAME CHANGE | 2016-09-22 | CLEARPOINT PSYCHOLOGY, LLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-23 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-04-28 |
| ANNUAL REPORT | 2020-05-17 |
| ANNUAL REPORT | 2019-02-10 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-04-30 |
| LC Name Change | 2016-09-22 |
| Florida Limited Liability | 2016-09-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
