| Entity Name: | CANNON PSYCHOLOGICAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Sep 2022 (2 years ago) |
| Document Number: | L22000417877 |
| FEI/EIN Number | 92-0464334 |
| Address: | 3075 Orange Picker Rd, JACKSONVILLE, FL, 32223, US |
| Mail Address: | 3075 Orange Picker Rd, JACKSONVILLE, FL, 32223, US |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134976061 | 2024-04-30 | 2024-05-01 | 3075 ORANGE PICKER RD, JACKSONVILLE, FL, 322230882, US | 12058 SAN JOSE BLVD STE 202, JACKSONVILLE, FL, 322238669, US | |||||||||||||
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| Phone | +1 352-339-6751 |
Authorized person
| Name | DR. BRITTANY CANNON |
| Role | PSYCHOLOGIST/OWNER |
| Phone | 3523396751 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MONAKEY & COMPANY, CPA'S ,LC | Agent |
| Name | Role | Address |
|---|---|---|
| CANNON BRITTANY | Manager | 3075 Orange Picker Rd, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-18 | 3075 Orange Picker Rd, JACKSONVILLE, FL 32223 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-18 | 3075 Orange Picker Rd, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-31 |
| ANNUAL REPORT | 2023-01-18 |
| Florida Limited Liability | 2022-09-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
