| Entity Name: | RESTORATION PSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 07 Apr 2020 (5 years ago) |
| Document Number: | L20000098301 |
| FEI/EIN Number | 85-0659669 |
| Address: | 7545 Centurion Parkway, JACKSONVILLE, FL, 32256, US |
| Mail Address: | 7545 Centurion Parkway, JACKSONVILLE, FL, 32256, US |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487271326 | 2020-06-26 | 2022-08-22 | 5000 BIG ISLAND DR UNIT 506, JACKSONVILLE, FL, 322465340, US | 7545 CENTURION PKWY STE 105, JACKSONVILLE, FL, 322564118, US | |||||||||||||
|
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| Phone | +1 318-820-6795 |
Authorized person
| Name | DR. SARAH COREY PATTON |
| Role | LICENSED PSYCHOLOGIST |
| Phone | 3188206795 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PATTON SARAH C | Agent | 7545 Centurion Parkway, JACKSONVILLE, FL, 32256 |
| Name | Role | Address |
|---|---|---|
| PATTON SARAH C | Manager | 7545 Centurion Parkway, JACKSONVILLE, FL, 32256 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G20000073199 | PSYCHOLOGY BY HEART | ACTIVE | 2020-06-28 | 2025-12-31 | No data | 12058 SAN JOSE BOULEVARD, SUITE 104, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-08 | 7545 Centurion Parkway, SUITE 105, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-27 | 7545 Centurion Parkway, SUITE 105, JACKSONVILLE, FL 32256 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-27 | 7545 Centurion Parkway, SUITE 105, JACKSONVILLE, FL 32256 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-28 |
| ANNUAL REPORT | 2023-04-06 |
| ANNUAL REPORT | 2022-04-08 |
| ANNUAL REPORT | 2021-04-26 |
| Florida Limited Liability | 2020-04-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
