| Entity Name: | JESSICA HAGUE, PSY. D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 19 May 2021 (4 years ago) |
| Document Number: | L21000234103 |
| FEI/EIN Number | 87-0877883 |
| Address: | 3225 S MACDILL AVE, STE 129-133, TAMPA, FL, 33629, US |
| Mail Address: | 3225 S MACDILL AVE, STE 129-133, TAMPA, FL, 33629, US |
| ZIP code: | 33629 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780255042 | 2021-07-08 | 2021-07-08 | 3225 S MACDILL AVE STE 129-133, TAMPA, FL, 336298171, US | 3225 S MACDILL AVE STE 129-133, TAMPA, FL, 336298171, US | |||||||||||||||
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| Phone | +1 813-255-2918 |
| Fax | 8132552919 |
Authorized person
| Name | JESSICA HAGUE |
| Role | CLINICAL PSYCHOLOGIST AND OWNER |
| Phone | 8132552918 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| HAGUE JESSICA | Agent | 3225 S MACDILL AVE, TAMPA, FL, 33629 |
| Name | Role | Address |
|---|---|---|
| HAGUE JESSICA | Manager | 3225 S MACDILL AVE, TAMPA, FL, 33629 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000088846 | HEALING SOLUTIONS AND PSYCHOLOGICAL ASSESSMENT | ACTIVE | 2021-07-06 | 2026-12-31 | No data | 3225 S. MACDILL AVE., STE 129-133, TAMPA, FL, 33629 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-02-10 |
| Florida Limited Liability | 2021-05-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
