| Entity Name: | ANGEL MONTFORT, PSY.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Apr 2018 (7 years ago) |
| Document Number: | L18000088516 |
| FEI/EIN Number | 82-5484333 |
| Address: | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544, US |
| Mail Address: | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336638931 | 2018-05-09 | 2018-05-09 | 20747 STERLINGTON DR, LAND O LAKES, FL, 346384317, US | 20747 STERLINGTON DR, LAND O LAKES, FL, 346384317, US | |||||||||||||||||||
|
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| Phone | +1 813-563-6526 |
| Fax | 8139480094 |
Authorized person
| Name | DR. ANGEL CHRISTINA MONTFORT |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 8135636526 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9414 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MONTFORT ANGEL C | Agent | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| MONTFORT ANGEL C | Manager | 2100 Ashley Oaks Circle, Wesley Chapel, FL, 33544 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000075123 | CENTER FOR MATERNAL MENTAL HEALTH | ACTIVE | 2019-07-10 | 2029-12-31 | No data | 2100 ASHLEY OAKS CIRCLE, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2019-04-30 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-04-30 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-30 | 2100 Ashley Oaks Circle, Wesley Chapel, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-07 |
| ANNUAL REPORT | 2020-06-16 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-04-09 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
