| Entity Name: | SUNCOAST FAMILY GUIDANCE CENTER, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 13 Jul 2018 (7 years ago) |
| Date of dissolution: | 24 Sep 2021 (3 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 24 Sep 2021 (3 years ago) |
| Document Number: | L18000169621 |
| FEI/EIN Number | 83-2192358 |
| Address: | 4837 Swift Road, SARASOTA, FL, 34231, US |
| Mail Address: | 1184 Fraser Pine Blvd, SARASOTA, FL, 34240, US |
| ZIP code: | 34231 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992274161 | 2018-11-17 | 2018-11-19 | 1184 FRASER PINE BLVD, SARASOTA, FL, 342401412, US | 5624 PALMER BLVD, SARASOTA, FL, 342322736, US | |||||||||||||||||||
|
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| Phone | +1 941-586-4561 |
Authorized person
| Name | DR. PHYLLIS HANNAH BOWERS PARKER |
| Role | OWNER |
| Phone | 9415864561 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1851640346 |
| State | NM |
| Name | Role | Address |
|---|---|---|
| PARKER HANNAH | Agent | 4837 Swift Rd, SARASOTA, FL, 34231 |
| Name | Role | Address |
|---|---|---|
| PARKER HANNAH | Manager | 4837 Swift Rd, SARASOTA, FL, 34231 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-13 | 4837 Swift Road, SARASOTA, FL 34231 | No data |
| CHANGE OF MAILING ADDRESS | 2020-06-13 | 4837 Swift Road, SARASOTA, FL 34231 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-06-13 | 4837 Swift Rd, SARASOTA, FL 34231 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2020-06-13 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-07-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
