| Entity Name: | PROFESSIONAL PSYCHOLOGY OF PINELLAS PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Nov 2018 (6 years ago) |
| Document Number: | L18000267389 |
| FEI/EIN Number | 83-2624605 |
| Address: | 12360 66TH ST. N, STE. 930, LARGO, FL, 33773 |
| Mail Address: | 12360 66TH ST. N, STE. 930, LARGO, FL, 33773 |
| ZIP code: | 33773 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134691645 | 2018-12-20 | 2018-12-20 | 12360 66TH ST STE 930, LARGO, FL, 337733434, US | 12360 66TH ST STE 930, LARGO, FL, 337733434, US | |||||||||||
|
|||||||||||||||
| Name | DR. TIA KERN-BUTLER |
| Role | OWNER |
| Phone | 7274172812 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KERN-BUTLER TIA | Agent | 12360 66TH ST. N., LARGO, FL, 33773 |
| Name | Role | Address |
|---|---|---|
| KERN-BUTLER TIA | Manager | 12360 66TH ST. N.STE. 930, LARGO, FL, 33773 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-18 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-02-04 |
| ANNUAL REPORT | 2021-01-13 |
| ANNUAL REPORT | 2020-02-07 |
| Florida Limited Liability | 2018-11-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
