Entity Name: | STAR PSYCHOLOGY, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 23 Jun 2020 (5 years ago) |
Last Event: | LC NAME CHANGE |
Event Date Filed: | 26 Oct 2020 (4 years ago) |
Document Number: | L20000175071 |
FEI/EIN Number | 85-1750348 |
Address: | 4720 Cleveland Heights Boulevard, 201, Lakeland, FL, 33813, US |
Mail Address: | 4720 Cleveland Heights Boulevard, 201, Lakeland, FL, 33813, US |
ZIP code: | 33813 |
County: | Polk |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1346079845 | 2024-07-31 | 2024-07-31 | 2258 COACHMAN LOOP, LAKELAND, FL, 338124047, US | 4720 CLEVELAND HEIGHTS BLVD STE 201, LAKELAND, FL, 338132245, US | |||||||||||||||||||
|
Phone | +1 954-882-5734 |
Fax | 8632258136 |
Authorized person
Name | DR. SHEYTOPHIA R CUNHA |
Role | OWNER |
Phone | 9548825734 |
Taxonomy
Taxonomy Code | 103TS0200X - School Psychologist |
Is Primary | Yes |
Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
Is Primary | No |
Name | Role | Address |
---|---|---|
CUNHA SHEYTOPHIA R | Agent | 2258 COACHMAN LOOP, LAKELAND, FL, 33812 |
Name | Role | Address |
---|---|---|
CUNHA Sheytophia R | Authorized Representative | 2258 COACHMAN LOOP, LAKELAND, FL, 33812 |
Cunha Jonathan | Authorized Representative | 2258 COACHMAN LOOP, LAKELAND, FL, 33812 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G20000163806 | STAR PSYCHOLOGY, LLC | ACTIVE | 2020-12-26 | 2025-12-31 | No data | 2258 COACHMAN LOOP, LAKELAND, FL, 33813 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2023-03-08 | 4720 Cleveland Heights Boulevard, 201, Lakeland, FL 33813 | No data |
CHANGE OF MAILING ADDRESS | 2023-03-08 | 4720 Cleveland Heights Boulevard, 201, Lakeland, FL 33813 | No data |
LC NAME CHANGE | 2020-10-26 | STAR PSYCHOLOGY, LLC | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-04-18 |
ANNUAL REPORT | 2023-03-08 |
ANNUAL REPORT | 2022-01-27 |
ANNUAL REPORT | 2021-04-26 |
LC Name Change | 2020-10-26 |
Florida Limited Liability | 2020-06-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State