| Entity Name: | BERNIER NEUROPSYCHOLOGY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 13 Aug 2020 (5 years ago) |
| Document Number: | L20000248399 |
| FEI/EIN Number | 85-2512539 |
| Address: | 29605 US Hwy 19 N., Suite 310, CLEARWATER, FL 33761 |
| Mail Address: | 29605 US Hwy 19 N., Suite 310, CLEARWATER, FL 33761 |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821685330 | 2020-12-30 | 2020-12-30 | 29605 US HIGHWAY 19 N STE 310, CLEARWATER, FL, 337611540, US | 29605 US HIGHWAY 19 N STE 310, CLEARWATER, FL, 337611540, US | |||||||||||||||||||
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| Phone | +1 727-332-9535 |
Authorized person
| Name | VIVIANA J FIGUEROA BERNIER |
| Role | PSYCHOLOGIST |
| Phone | 7273329535 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 101347800 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SCHUETT LAW GROUP | Agent | 8200 113TH STREET, 101, SEMINOLE, FL 33772 |
| Name | Role | Address |
|---|---|---|
| FIGUEROA BERNIER, VIVIANA | Authorized Member | 29605 US HWY 19 N SUITE 310, CLEARWATER, FL 33761 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2020-09-24 | 29605 US Hwy 19 N., Suite 310, CLEARWATER, FL 33761 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-09-02 | 29605 US Hwy 19 N., Suite 310, CLEARWATER, FL 33761 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-03 |
| ANNUAL REPORT | 2023-04-04 |
| ANNUAL REPORT | 2022-02-25 |
| ANNUAL REPORT | 2021-03-06 |
| Florida Limited Liability | 2020-08-13 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
