| Entity Name: | TAMPA LCSW SUPERVISION, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 06 Dec 2019 (5 years ago) |
| Document Number: | L19000286482 |
| FEI/EIN Number | 85-0802567 |
| Address: | 10014 N Dale Mabry Hwy, TAMPA, FL, 33618, US |
| Mail Address: | 10014 N Dale Mabry Hwy, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780372425 | 2023-05-01 | 2023-05-01 | 15710 INDIAN QUEEN DR, ODESSA, FL, 335563013, US | 14021 N DALE MABRY HWY, TAMPA, FL, 336182401, US | |||||||||||||||
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| Phone | +1 561-927-7188 |
| Phone | +1 813-444-3818 |
Authorized person
| Name | DANIELLE H. THOMASSY |
| Role | OWNER/MANAGER |
| Phone | 8134443818 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| THOMASSY Danielle H | Agent | 10014 N Dale Mabry Hwy, TAMPA, FL, 33618 |
| Name | Role | Address |
|---|---|---|
| THOMASSY DANIELLE H | Manager | 10014 N Dale Mabry Hwy, TAMPA, FL, 33618 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000046989 | TBCS | ACTIVE | 2023-04-12 | 2028-12-31 | No data | 10014 N DALE MABRY HIGHWAY SUITE 202, TAMPA, FL, 33618 |
| G23000046992 | TAMPA BAY COUNSELING AND SUPERVISION GROUP | ACTIVE | 2023-04-12 | 2028-12-31 | No data | 10014 N DALE MABRY HIGHWAY SUITE 202, TAMPA, FL, 33618 |
| G23000043498 | TBCS GROUP | ACTIVE | 2023-04-04 | 2028-12-31 | No data | 10014 N DALE MABRY HIGHWAY SUITE 202, TAMPA, FL, 33618 |
| G20000042168 | TAMPA BAY COUNSELING AND SUPERVISION | ACTIVE | 2020-04-16 | 2025-12-31 | No data | 10014 N DALE MABRY HIGHWAY SUITE 202, TAMPA, FL, 33618 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-09 | 10014 N Dale Mabry Hwy, suite 202, TAMPA, FL 33618 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-09 | 10014 N Dale Mabry Hwy, suite 202, TAMPA, FL 33618 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-09 | 10014 N Dale Mabry Hwy, suite 202, TAMPA, FL 33618 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-10 | THOMASSY, Danielle H | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-08 |
| ANNUAL REPORT | 2024-01-09 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-06-09 |
| Florida Limited Liability | 2019-12-06 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
