| Entity Name: | AUDREY CLEARY, PH.D., LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 18 Oct 2022 (2 years ago) |
| Last Event: | LC STMNT CORR |
| Event Date Filed: | 25 Oct 2022 (2 years ago) |
| Document Number: | L22000449370 |
| FEI/EIN Number | 46-3182082 |
| Address: | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 |
| Mail Address: | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 |
| ZIP code: | 33702 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801247804 | 2016-06-30 | 2016-09-21 | 5915 PONCE DE LEON BLVD, SUITE 19, CORAL GABLES, FL, 331462435, US | 5915 PONCE DE LEON BLVD, SUITE 19, CORAL GABLES, FL, 331462435, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 305-767-1108 |
Authorized person
| Name | AUDREY CLEARY |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3057671108 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8599 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent |
| Name | Role | Address |
|---|---|---|
| CLEARY, AUDREY | Authorized Member | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-04-01 | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2025-04-01 | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-01 | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-01 | 7901 4TH ST. N STE. 300, ST. PETERSBURG, FL 33702 | No data |
| LC STMNT CORR | 2022-10-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-04 |
| CORLCSTCOR | 2022-10-25 |
| Florida Limited Liability | 2022-10-18 |
Date of last update: 11 Jan 2025
Sources: Florida Department of State
