| Entity Name: | GABRIELLE P. HACKETT, PSY.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Oct 2016 (8 years ago) |
| Document Number: | L16000195296 |
| FEI/EIN Number | 81-4262875 |
| Address: | 1575 Indian River Blvd, Vero Beach, FL, 32960, US |
| Mail Address: | 18601 Tranquility Base Lane, Port St. Lucie, FL, 34987, US |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194263632 | 2017-02-04 | 2022-06-07 | 18601 TRANQUILITY BASE LN, PORT ST LUCIE, FL, 349873236, US | 1575 INDIAN RIVER BLVD STE C225, VERO BEACH, FL, 329607127, US | |||||||||||||||||||
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| Phone | +1 954-812-3482 |
| Fax | 9549001197 |
Authorized person
| Name | GABRIELLE PAIGE HACKETT |
| Role | OWNER |
| Phone | 9548123482 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9507 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| HACKETT GABRIELLE P | Authorized Member | 18601 Tranquility Base Lane, Port St Lucie, FL, 34987 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-17 | 3458 LAKESHORE DRIVE, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-05-16 | 1575 Indian River Blvd, Suite C225, Vero Beach, FL 32960 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-06 | 1575 Indian River Blvd, Suite C225, Vero Beach, FL 32960 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-01-31 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-04-06 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-19 |
| ANNUAL REPORT | 2018-01-23 |
| ANNUAL REPORT | 2017-02-26 |
| Florida Limited Liability | 2016-10-24 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
