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JENNIFER L. THIBODEAUX, PLLC

Company Details

Entity Name: JENNIFER L. THIBODEAUX, PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 05 Oct 2016 (8 years ago)
Document Number: L16000185349
FEI/EIN Number 81-4103133
Address: 3000 Gulf to Bay Blvd., CLEARWATER, FL, 33759, US
Mail Address: 3147 Melton Street N, St. Petersburg, FL, 33704, US
ZIP code: 33759
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1093246589 2017-03-25 2017-03-25 2653 MCCORMICK DR, CLEARWATER, FL, 337591041, US 2653 MCCORMICK DR, CLEARWATER, FL, 337591041, US

Contacts

Phone +1 225-270-2727

Authorized person

Name JENNIFER THIBODEAUX
Role LICENSED PSYCHOLOGIST
Phone 2252702727

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY9698
State FL
Is Primary Yes

Agent

Name Role
UNITED STATES CORPORATION AGENTS, INC. Agent

Authorized Member

Name Role Address
THIBODEAUX JENNIFER L Authorized Member 3000 Gulf to Bay Blvd., CLEARWATER, FL, 33759

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2025-01-15 Registered Agents Inc No data
REGISTERED AGENT ADDRESS CHANGED 2025-01-15 7901 4th St. N, Suite 300, St. Petersburg, FL 33702 No data
CHANGE OF PRINCIPAL ADDRESS 2023-01-27 3000 Gulf to Bay Blvd., Suite 300, CLEARWATER, FL 33759 No data
CHANGE OF MAILING ADDRESS 2022-02-15 3000 Gulf to Bay Blvd., Suite 300, CLEARWATER, FL 33759 No data

Documents

Name Date
ANNUAL REPORT 2025-01-15
ANNUAL REPORT 2024-01-09
ANNUAL REPORT 2023-01-27
ANNUAL REPORT 2022-02-15
ANNUAL REPORT 2021-01-11
ANNUAL REPORT 2020-01-14
ANNUAL REPORT 2019-02-05
ANNUAL REPORT 2018-03-21
ANNUAL REPORT 2017-04-26
Florida Limited Liability 2016-10-05

Date of last update: 03 Feb 2025

Sources: Florida Department of State