| Entity Name: | DR. PSYCHOLOGIST, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 17 Jun 2021 (4 years ago) |
| Document Number: | L21000281456 |
| FEI/EIN Number | 87-2530561 |
| Address: | 26829 TANIC DRIVE, SUITE 101, WESLEY CHAPEL, FL, 33544, US |
| Mail Address: | 26829 TANIC DRIVE, SUITE 101, WESLEY CHAPEL, FL, 33544, US |
| ZIP code: | 33544 |
| County: | Pasco |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942952312 | 2022-01-26 | 2023-01-04 | 2870 SATILLA LOOP, ODESSA, FL, 335562736, US | 26829 TANIC DR STE 101, WESLEY CHAPEL, FL, 335444612, US | |||||||||||||
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| Phone | +1 813-219-0152 |
Authorized person
| Name | JESSICA PENA MORALES |
| Role | OWNER |
| Phone | 8132190152 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PENA MORALES JESSICA JDR. | Agent | 26829 TANIC DRIVE, WESLEY CHAPEL, FL, 33544 |
| Name | Role | Address |
|---|---|---|
| PENA MORALES JESSICA JDR. | Authorized Representative | 26829 TANIC DRIVE, WESLEY CHAPEL, FL, 33544 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-12 | 26829 TANIC DRIVE, SUITE 101, WESLEY CHAPEL, FL 33544 | No data |
| CHANGE OF MAILING ADDRESS | 2024-01-12 | 26829 TANIC DRIVE, SUITE 101, WESLEY CHAPEL, FL 33544 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-12 | 26829 TANIC DRIVE, SUITE 101, WESLEY CHAPEL, FL 33544 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| ANNUAL REPORT | 2023-07-25 |
| ANNUAL REPORT | 2022-04-12 |
| Florida Limited Liability | 2021-06-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
