| Entity Name: | THE ANXIETY CENTER OF TAMPA BAY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Sep 2018 (6 years ago) |
| Last Event: | LC AMENDMENT AND NAME CHANGE |
| Event Date Filed: | 13 Nov 2018 (6 years ago) |
| Document Number: | L18000230144 |
| FEI/EIN Number | 83-2044653 |
| Address: | 4100 W Kennedy Blvd #204, TAMPA, FL, 33609, US |
| Mail Address: | 4100 W Kennedy Blvd #204, TAMPA, FL, 33609, US |
| ZIP code: | 33609 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881152254 | 2019-03-05 | 2019-03-05 | 1207 N HIMES AVE STE 4, TAMPA, FL, 336075041, US | 1207 N HIMES AVE STE 4, TAMPA, FL, 336075041, US | |||||||||||||
|
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| Phone | +1 904-860-3707 |
Authorized person
| Name | LORI AITKEN |
| Role | CO-OWNER |
| Phone | 9048603707 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| AITKEN LORI | Agent | 1207 N HIMES AVE,, TAMPA, FL, 33607 |
| Name | Role |
|---|---|
| MARY BRIZUELA, LMHC, PA | Authorized Member |
| LORI AITKEN, LMHC, PA | Authorized Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000029407 | ANXIETY CENTER OF TAMPA | EXPIRED | 2019-03-04 | 2024-12-31 | No data | 1207 N HIMES AVE, TAMPA, FL, 33607 |
| G18000120233 | THE ANXIETY CENTER OF TAMPA BAY | EXPIRED | 2018-11-08 | 2023-12-31 | No data | 334 EAST LAKE RD, SUITE 193, PALM HARBOR, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-01-06 | 4100 W Kennedy Blvd #204, TAMPA, FL 33609 | No data |
| CHANGE OF MAILING ADDRESS | 2025-01-06 | 4100 W Kennedy Blvd #204, TAMPA, FL 33609 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-04-01 | 1207 N HIMES AVE,, SUITE 4, TAMPA, FL 33607 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-03-26 | 1207 N HIMES AVE,, SUITE 4, TAMPA, FL 33607 | No data |
| CHANGE OF MAILING ADDRESS | 2019-03-26 | 1207 N HIMES AVE,, SUITE 4, TAMPA, FL 33607 | No data |
| LC AMENDMENT AND NAME CHANGE | 2018-11-13 | THE ANXIETY CENTER OF TAMPA BAY, PLLC | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-10 |
| ANNUAL REPORT | 2021-01-30 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-04-01 |
| LC Amendment and Name Change | 2018-11-13 |
| Florida Limited Liability | 2018-09-27 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
