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OPTIMUM LIVING PSYCHOLOGY, PLLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
POWERS, FAITH J, Dr. Agent 111 W MAIN ST #307, INVERNESS, FL 34450

Authorized Member

Name Role Address
POWERS, FAITH J, Dr. Authorized Member 111 W MAIN ST #307, INVERNESS, FL 34450

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-05-11 POWERS, FAITH J, Dr. No data

Documents

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