| Entity Name: | SHELLA SCULLY-HILBERT LCSW LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 31 Mar 2020 (5 years ago) |
| Date of dissolution: | 25 Jan 2024 (a year ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 25 Jan 2024 (a year ago) |
| Document Number: | L20000093321 |
| FEI/EIN Number | 85-0563870 |
| Address: | 4244 Central Ave, ST. PETERSBURG, FL, 33711, US |
| Mail Address: | 1417 26TH ST N, SAINT PETERSBURG, FL, 33713, US |
| ZIP code: | 33711 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184249286 | 2020-06-15 | 2020-06-15 | 1417 26TH ST N, SAINT PETERSBURG, FL, 337135613, US | 4244 CENTRAL AVE, SAINT PETERSBURG, FL, 337111140, US | |||||||||||||||||||||
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| Phone | +1 727-295-5836 |
| Phone | +1 727-295-5896 |
Authorized person
| Name | SHELLA SCULLY-HILBERT |
| Role | OWNER |
| Phone | 7272955896 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | STATE OF FL - DEPT OF HEALTH |
| Number | SW15174 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCULLY-HILBERT SHELLA | Agent | 1417 26TH ST N, SAINT PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| SCULLY-HILBERT SHELLA | Authorized Member | 1417 26TH ST N, SAINT PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-11 | 4244 Central Ave, ST. PETERSBURG, FL 33711 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2024-01-25 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-01-13 |
| Florida Limited Liability | 2020-03-31 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
