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STAR PSYCHOLOGY, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CUNHA SHEYTOPHIA R Agent 2258 COACHMAN LOOP, LAKELAND, FL, 33812

Authorized Representative

Name Role Address
CUNHA Sheytophia R Authorized Representative 2258 COACHMAN LOOP, LAKELAND, FL, 33812
Cunha Jonathan Authorized Representative 2258 COACHMAN LOOP, LAKELAND, FL, 33812

Fictitious Names

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

Events

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

Documents

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