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DEBRA T. SEGAL COUNSELING, P.A.

Company Details

Entity Name: DEBRA T. SEGAL COUNSELING, P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 14 Feb 2000 (25 years ago)
Date of dissolution: 23 Sep 2011 (13 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2011 (13 years ago)
Document Number: P00000016887
FEI/EIN Number 593636288
Address: 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL, 33881
Mail Address: PO BOX 2717, WINTER HAVEN, FL, 33883
ZIP code: 33881
County: Polk
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1912130576 2009-08-31 2009-11-12 65 3RD ST NW, SUITE 210, WINTER HAVEN, FL, 338814670, US 65 3RD ST NW, SUITE 210, WINTER HAVEN, FL, 338814670, US

Contacts

Phone +1 863-299-2202
Fax 8632999661

Authorized person

Name MRS. DEBRA T SEGAL
Role OWNER
Phone 8632992202

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW528
State FL
Is Primary Yes

Agent

Name Role Address
SEGAL DEBRA T Agent 65 THIRD STREET, NW, WINTER HAVEN, FL, 33881

Director

Name Role Address
SEGAL DEBRA T Director 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL, 33881

President

Name Role Address
SEGAL DEBRA T President 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL, 33881

Treasurer

Name Role Address
SEGAL DEBRA T Treasurer 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL, 33881

Secretary

Name Role Address
SEGAL DEBRA T Secretary 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL, 33881

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2011-09-23 No data No data
CHANGE OF MAILING ADDRESS 2005-03-25 65 THIRD STREET, NW, SUITE 210, WINTER HAVEN, FL 33881 No data
NAME CHANGE AMENDMENT 2002-06-19 DEBRA T. SEGAL COUNSELING, P.A. No data

Documents

Name Date
ANNUAL REPORT 2010-01-07
ANNUAL REPORT 2009-04-15
ANNUAL REPORT 2008-03-05
ANNUAL REPORT 2007-02-12
ANNUAL REPORT 2006-03-31
ANNUAL REPORT 2005-03-25
ANNUAL REPORT 2004-03-31
ANNUAL REPORT 2003-05-01
Name Change 2002-06-19
ANNUAL REPORT 2002-05-07

Date of last update: 02 Feb 2025

Sources: Florida Department of State