| Entity Name: | PAMELA S TAYLOR, PHD, LPC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 30 Sep 2021 (3 years ago) |
| Date of dissolution: | 27 Sep 2024 (5 months ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (5 months ago) |
| Document Number: | L21000429500 |
| FEI/EIN Number | 87-2018692 |
| Address: | 2413 MAIN STREET, 518, MIRAMAR, FL 33025 |
| Mail Address: | 2413 MAIN STREET, 518, MIRAMAR, FL 33025 |
| ZIP code: | 33025 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194436964 | 2022-12-12 | 2023-07-20 | 2413 MAIN ST # 518, MIRAMAR, FL, 330257809, US | 17115 SW 49TH PL, MIRAMAR, FL, 33027, US | |||||||||||||||||||
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| Phone | +1 816-739-7102 |
Authorized person
| Name | DR. PAMELA S TAYLOR |
| Role | OWNER/LMPC |
| Phone | 8167397102 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 49466540 |
| State | MO |
| Name | Role | Address |
|---|---|---|
| TAYLOR, PAMELA S, PHD,LPC | Agent | 2413 MAIN STREET, 518, MIRAMAR, FL 33025 |
| Name | Role | Address |
|---|---|---|
| TAYLOR, PAMELA S, PHD,LPC | Manager | 2413 MAIN STREET, 518, MIRAMAR, FL 33025 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000132308 | NEW HOPE COUNSELING CENTER | ACTIVE | 2021-10-01 | 2026-12-31 | No data | 2413 MAIN STREET, 518, MIRAMAR, FL, 33025 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| REINSTATEMENT | 2022-12-16 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-12-16 | TAYLOR, PAMELA S, PHD,LPC | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2023-04-24 |
| REINSTATEMENT | 2022-12-16 |
| Florida Limited Liability | 2021-09-30 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
