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DIANNA KALPAKIAN, PHD LLC

Company Details

Entity Name: DIANNA KALPAKIAN, PHD LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 21 Feb 2023 (2 years ago)
Document Number: L23000092428
FEI/EIN Number 92-2628834
Address: 2625 Keystone Road, Ste A3, TARPON, FL, 34688, US
Mail Address: 2625 Keystone Road, Ste A3, TARPON, FL, 34688, US
ZIP code: 34688
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619660420 2023-05-29 2023-05-29 15362 SWEET SPRINGS BND, ODESSA, FL, 335562943, US 15362 SWEET SPRINGS BND, ODESSA, FL, 335562943, US

Contacts

Phone +1 727-773-5669

Authorized person

Name DR. DIANNA MARY KALPAKIAN
Role CLINICAL PSYCHOLOGIST
Phone 7277735669

Taxonomy

Taxonomy Code 261QM0850X - Adult Mental Health Clinic/Center
Is Primary No
Taxonomy Code 261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
KALPAKIAN DIANNA M Agent 2625 KEYSTONE ROAD, TARPON SPRINGS, FL, 34688

Authorized Person

Name Role Address
KALPAKIAN DIANNA M Authorized Person 2625 Keystone Road, Tarpon Springs, FL, 34688

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-07-24 2625 Keystone Road, Ste A3, TARPON, FL 34688 No data
CHANGE OF MAILING ADDRESS 2023-07-24 2625 Keystone Road, Ste A3, TARPON, FL 34688 No data

Documents

Name Date
ANNUAL REPORT 2024-02-29
Florida Limited Liability 2023-02-21

Date of last update: 03 Feb 2025

Sources: Florida Department of State