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KRISTEN DAVIDSON, PSY.D., PLLC - Florida Company Profile

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Company Details

Entity Name: KRISTEN DAVIDSON, PSY.D., PLLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

KRISTEN DAVIDSON, PSY.D., PLLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 16 Sep 2022 (3 years ago)
Document Number: L22000404696
FEI/EIN Number 92-0417108

Federal Employer Identification (FEI) Number assigned by the IRS.

Mail Address: 13606 CASSIOPEIA DR, ORLANDO, FL, 32828, US
Address: 3801 Avalon Park E. Blvd., Suite 200, Orlando, FL, 32828, US
ZIP code: 32828
County: Orange
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
DAVIDSON KRISTEN Authorized Member 13606 CASSIOPEIA DR, ORLANDO, FL, 32828
DAVIDSON KRISTEN M Agent 13606 CASSIOPEIA DR, ORLANDO, FL, 32828

National Provider Identifier

NPI Number:
1316790942
Certification Date:
2024-04-11

Authorized Person:

Name:
DR. KRISTEN MICHELLE DAVIDSON
Role:
CLINICAL NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8338951282

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-02-06 3801 Avalon Park E. Blvd., Suite 200, Orlando, FL 32828 -
CHANGE OF PRINCIPAL ADDRESS 2023-04-19 2497 Waving Moss Way, Winter Park, FL 32792 -

Documents

Name Date
ANNUAL REPORT 2025-02-06
ANNUAL REPORT 2024-01-08
ANNUAL REPORT 2023-04-19
Florida Limited Liability 2022-09-16

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Date of last update: 02 Jun 2025

Sources: Florida Department of State