Entity Name: | OPTIMUM LIVING PSYCHOLOGY, PLLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 22 Jan 2019 (6 years ago) |
Document Number: | L19000022648 |
FEI/EIN Number | 83-3413332 |
Address: | 111 W MAIN ST #307, INVERNESS, FL 34450 |
Mail Address: | 111 W MAIN ST #307, INVERNESS, FL 34450 |
ZIP code: | 34450 |
County: | Citrus |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1609425016 | 2019-09-09 | 2019-09-09 | 111 W MAIN ST STE 307, INVERNESS, FL, 344504807, US | 111 W MAIN ST STE 307, INVERNESS, FL, 344504807, US | |||||||||||||
|
Phone | +1 352-201-4955 |
Authorized person
Name | DR. FAITH POWERS |
Role | LICENSED PSYCHOLOGIST/OWNER |
Phone | 3522014955 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
POWERS, FAITH J, Dr. | Agent | 111 W MAIN ST #307, INVERNESS, FL 34450 |
Name | Role | Address |
---|---|---|
POWERS, FAITH J, Dr. | Authorized Member | 111 W MAIN ST #307, INVERNESS, FL 34450 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REGISTERED AGENT NAME CHANGED | 2020-05-11 | POWERS, FAITH J, Dr. | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-29 |
ANNUAL REPORT | 2023-04-06 |
ANNUAL REPORT | 2022-03-28 |
ANNUAL REPORT | 2021-03-07 |
ANNUAL REPORT | 2020-05-11 |
Florida Limited Liability | 2019-01-22 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State