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NORTH FLORIDA PSYCHOTHERAPY LLC - Florida Company Profile

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Company Details

Entity Name: NORTH FLORIDA PSYCHOTHERAPY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Inactive
Date Filed: 20 Dec 2023 (2 years ago)
Date of dissolution: 27 Sep 2024 (a year ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (a year ago)
Document Number: L23000559253
Address: 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL, 32250, US
Mail Address: 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL, 32250, US
ZIP code: 32250
City: Jacksonville Beach
County: Duval
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
KELLEY KRISTEN Authorized Member 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL, 32250
- Agent -

National Provider Identifier

NPI Number:
1992576284
Certification Date:
2024-01-15

Authorized Person:

Name:
KRISTEN KELLEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-03-01 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL 32250 -
CHANGE OF MAILING ADDRESS 2025-03-01 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL 32250 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 - -
CHANGE OF PRINCIPAL ADDRESS 2024-03-01 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL 32250 -
CHANGE OF MAILING ADDRESS 2024-03-01 4016 3RD ST S # 1159, JACKSONVILLE BEACH, FL 32250 -

Documents

Name Date
Florida Limited Liability 2023-12-20

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Date of last update: 02 Aug 2025

Sources: Florida Department of State