| Entity Name: | LAURA J. PERRY LMHC PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Dec 2022 (2 years ago) |
| Document Number: | L22000531361 |
| FEI/EIN Number | 81-0936355 |
| Address: | 808 NW 23RD AVENUE, GAINESVILLE, FL 32609 |
| Mail Address: | 5200 NW 43RD ST, STE 102-197, GAINESVILLE, FL 32606 |
| ZIP code: | 32609 |
| County: | Alachua |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851750921 | 2016-02-18 | 2023-01-04 | 5200 NW 43RD ST, STE 102-197, GAINESVILLE, FL, 326064484, US | 808 NW 23RD AVE, GAINESVILLE, FL, 326093534, US | |||||||||||||||||
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| Phone | +1 352-665-3390 |
Authorized person
| Name | LAURA J PERRY |
| Role | PROVIDER/CLINICIAN |
| Phone | 3256653390 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH13565 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| PERRY, LAURA J | Agent | 5200 NW 43 ST, STE 102-197, GAINESVILLE, FL 32606 |
| Name | Role | Address |
|---|---|---|
| PERRY, LAURA J | Manager | 5200 NW 43RD ST, STE 102-197, GAINESVILLE, FL 32606 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-30 |
| Florida Limited Liability | 2022-12-20 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
