| Entity Name: | SALLY A. COCHRAN, LMHC, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 22 May 2000 (25 years ago) |
| Date of dissolution: | 23 Sep 2016 (8 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2016 (8 years ago) |
| Document Number: | P00000052317 |
| FEI/EIN Number | 593648876 |
| Address: | 1210 MILLENNIUM PKWY, BRANDON, FL, 33511, US |
| Mail Address: | 16814 HAWKRIDGE RD, LITHIA, FL, 33547 |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1083964811 | 2012-09-19 | 2012-09-19 | 1210 MILLENNIUM PARKWAY, SUITE 1034, BRANDON, FL, 335114858, US | 1210 MILLENNIUM PARKWAY, SUITE 1034, BRANDON, FL, 335114858, US | |||||||||||||||||||||||||
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| Phone | +1 813-654-8916 |
| Fax | 8136546952 |
Authorized person
| Name | SALLY A COCHRAN |
| Role | SOLE OWNER |
| Phone | 8136548916 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH6024 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BC/BS |
| Number | Z013D |
| State | FL |
| Name | Role | Address |
|---|---|---|
| COCHRAN SALLY A | Agent | 16814 HAWKRIDGE RD, LITHIA, FL, 33547 |
| Name | Role | Address |
|---|---|---|
| COCHRAN SALLY ALMHC | President | 16814 HAWKRIDGE RD, LITHIA, FL, 33547 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-03 | 1210 MILLENNIUM PKWY, 1033, BRANDON, FL 33511 | No data |
| REINSTATEMENT | 2012-04-11 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2002-03-29 | 1210 MILLENNIUM PKWY, 1033, BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-03-29 | 16814 HAWKRIDGE RD, LITHIA, FL 33547 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2015-01-03 |
| ANNUAL REPORT | 2014-01-23 |
| ANNUAL REPORT | 2013-01-23 |
| REINSTATEMENT | 2012-04-11 |
| ANNUAL REPORT | 2010-03-11 |
| ANNUAL REPORT | 2009-01-17 |
| ANNUAL REPORT | 2008-01-12 |
| ANNUAL REPORT | 2007-01-03 |
| ANNUAL REPORT | 2006-01-08 |
| ANNUAL REPORT | 2005-01-08 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
