| Entity Name: | WOLF PSYCHOLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 16 May 2018 (7 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 21 Jun 2021 (4 years ago) |
| Document Number: | L18000122312 |
| FEI/EIN Number | 83-0571075 |
| Address: | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL, 32940, US |
| Mail Address: | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL, 32940, US |
| ZIP code: | 32940 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174086151 | 2019-04-08 | 2021-06-14 | 3270 SUNTREE BLVD STE 127, MELBOURNE, FL, 329407522, US | 3270 SUNTREE BLVD STE 127, MELBOURNE, FL, 329407522, US | |||||||||||||
|
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| Phone | +1 321-372-8608 |
Authorized person
| Name | DR. JENNIFER WOLF |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3213728608 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WOLF JENNIFER L | Agent | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL, 32940 |
| Name | Role | Address |
|---|---|---|
| WOLF JENNIFER L | Authorized Representative | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL, 32940 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC STMNT OF RA/RO CHG | 2021-06-21 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-06-21 | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL 32940 | No data |
| LC STMNT OF RA/RO CHG | 2018-07-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2018-07-09 | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL 32940 | No data |
| CHANGE OF MAILING ADDRESS | 2018-07-02 | 3270 SUNTREE BLVD, STE 127, MELBOURNE, FL 32940 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-14 |
| ANNUAL REPORT | 2023-02-01 |
| ANNUAL REPORT | 2022-01-26 |
| CORLCRACHG | 2021-06-21 |
| ANNUAL REPORT | 2021-02-01 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-12 |
| CORLCRACHG | 2018-07-09 |
| Florida Limited Liability | 2018-05-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
