| Entity Name: | STILLWATERS PSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 09 Aug 2018 (7 years ago) |
| Document Number: | L18000190790 |
| FEI/EIN Number | 83-1517761 |
| Address: | 13400 Sutton Park Drive South, Suite 1504, JACKSONVILLE, FL, 32224, US |
| Mail Address: | 13400 Sutton Park Drive South, Suite 1504, JACKSONVILLE, FL, 32224, US |
| ZIP code: | 32224 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346729936 | 2018-08-14 | 2022-10-31 | 13400 SUTTON PARK DR. S., STE 1504, JACKSONVILLE, FL, 32224, US | 13400 SUTTON PARK DR. S., STE 1504, JACKSONVILLE, FL, 32224, US | |||||||||||||||||||
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| Phone | +1 904-385-5938 |
| Fax | 9043726107 |
Authorized person
| Name | MRS. ALISON M SINGLETON |
| Role | SOLE PRACTICE OWNER, CLINICAL PSYCH |
| Phone | 9043855938 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8528 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SINGLETON ALISON | Agent | 13400 Sutton Park Drive South, JACKSONVILLE, FL, 32224 |
| Name | Role | Address |
|---|---|---|
| SINGLETON ALISON | Authorized Member | 13400 Sutton Park Drive South, JACKSONVILLE, FL, 32224 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-21 | 13400 Sutton Park Drive South, Suite 1504, JACKSONVILLE, FL 32224 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-21 | 13400 Sutton Park Drive South, Suite 1504, JACKSONVILLE, FL 32224 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-21 | 13400 Sutton Park Drive South, Suite 1504, JACKSONVILLE, FL 32224 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-01-21 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-01-30 |
| Florida Limited Liability | 2018-08-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
