| Entity Name: | CARATIVE PSYCHIATRY PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 24 Jun 2019 (6 years ago) |
| Document Number: | L19000156537 |
| FEI/EIN Number | 84-2248925 |
| Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | CARATIVE PSYCHIATRY PLLC, MINNESOTA | a49061fb-62b4-ed11-9069-00155d01c614 | MINNESOTA |
| Headquarter of | CARATIVE PSYCHIATRY PLLC, KENTUCKY | 1248694 | KENTUCKY |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1437745874 | 2020-12-20 | 2023-09-25 | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | 7901 4TH ST N STE 300, ST PETERSBURG, FL, 337024399, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 843-474-5578 |
| Fax | 8437901857 |
| Fax | 8437901871 |
Authorized person
| Name | ASHLEY CYRONAK |
| Role | OWNER |
| Phone | 8434745578 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MAGELLAN |
| Number | 601542919 |
| Issuer | BCBS |
| Number | LYI4L |
| State | FL |
| Issuer | AETNA |
| Number | 6211141 |
| Name | Role |
|---|---|
| REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| CYRONAK, ASHLEY | Manager | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 7901 4TH ST N, STE 300, ST. PETERSBURG, FL 33702 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-26 | Registered Agents Inc | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-26 | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-28 |
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-01-26 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-03-08 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-06-08 |
| Florida Limited Liability | 2019-06-24 |
Date of last update: 16 Feb 2025
Sources: Florida Department of State
