| Entity Name: | PSYCHOLOGY HOUSE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 03 Jun 2024 (8 months ago) |
| Document Number: | L24000250861 |
| Address: | 4345 14TH WAY NE, ST. PETERSBURG, FL 33703 |
| Mail Address: | 4345 14TH WAY NE, ST. PETERSBURG, FL 33703 |
| ZIP code: | 33703 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114757846 | 2024-08-06 | 2024-08-06 | 4345 14TH WAY NE, SAINT PETERSBURG, FL, 337035348, US | 4345 14TH WAY NE, SAINT PETERSBURG, FL, 337035348, US | |||||||||||||
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| Phone | +1 954-695-4397 |
Authorized person
| Name | SARAH CARPENTER |
| Role | OWNER/LICENSED PSYCHOLOGIST |
| Phone | 9546954397 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CARPENTER, MARK D | Agent | 4345 14TH WAY NE, ST. PETERSBURG, FL 33703 |
| Name | Role | Address |
|---|---|---|
| CARPENTER, MARK D | Manager | 4345 14TH WAY NE, ST. PETERSBURG, FL 33703 |
| CARPENTER, SARAH E, DR. | Manager | 4345 14TH WAY NE, ST. PETERSBURG, FL 33703 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-06-03 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
