| Entity Name: | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Domestic Profit
PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 25 Sep 2000 (25 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 04 Jan 2010 (15 years ago) |
| Document Number: | P00000090190 |
| FEI/EIN Number |
593672109
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 5300 S. Florida Avenue, Suite 4, LAKELAND, FL, 33813, US |
| Mail Address: | 5300 S. Florida Avenue, Suite 4, LAKELAND, FL, 33813, US |
| ZIP code: | 33813 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528127081 | 2006-12-08 | 2008-06-05 | 4720 CLEVELAND HEIGHTS BLVD, SUITE 105, LAKELAND, FL, 338132243, US | 4720 CLEVELAND HEIGHTS BLVD, SUITE 105, LAKELAND, FL, 338132243, US | |||||||||||||||
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| Phone | +1 863-701-9202 |
| Fax | 8637019262 |
Authorized person
| Name | TRACEY G. HENLEY |
| Role | PRESIDENT |
| Phone | 8637019202 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. 401K RETIREMENT PLAN AND TRUST | 2023 | 593672109 | 2024-03-26 | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. | 3 | |||||||||||||
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| PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. 401K RETIREMENT PLAN AND TRUST | 2022 | 593672109 | 2023-02-14 | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. | 3 | |||||||||||||
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| PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. 401K RETIREMENT PLAN AND TRUST | 2021 | 593672109 | 2022-04-26 | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. | 4 | |||||||||||||
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| PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. 401K RETIREMENT PLAN AND TRUST | 2020 | 593672109 | 2021-06-18 | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. | 3 | |||||||||||||
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| PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. 401K RETIREMENT PLAN AND TRUST | 2019 | 593672109 | 2020-07-15 | PSYCHOLOGICAL AND NEUROBEHAVIORAL SERVICES, P.A. | 0 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| HENLEY BILL J | Vice President | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| HENLEY BILL J | Secretary | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| HENLEY BILL J | Director | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| HENLEY BILL J | Treasurer | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| HENLEY TRACEY G | President | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| HENLEY, JR. BILL | Agent | 5300 S. Florida Avenue, LAKELAND, FL, 33813 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G00304900393 | TRACEY G. HENLEY, PSY.D. | ACTIVE | 2000-10-29 | 2025-12-31 | - | 5300 S. FLORIDA AVENUE, SUITE 4, LAKELAND, FL, 33813 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-02-02 | 5300 S. Florida Avenue, Suite 4, LAKELAND, FL 33813 | - |
| CHANGE OF MAILING ADDRESS | 2023-02-02 | 5300 S. Florida Avenue, Suite 4, LAKELAND, FL 33813 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-02-02 | 5300 S. Florida Avenue, Suite 4, LAKELAND, FL 33813 | - |
| CANCEL ADM DISS/REV | 2010-01-04 | - | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | - | - |
| AMENDMENT | 2007-12-17 | - | - |
| REGISTERED AGENT NAME CHANGED | 2000-11-01 | HENLEY, JR., BILL | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-05-11 |
| ANNUAL REPORT | 2019-04-22 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-14 |
| ANNUAL REPORT | 2016-04-22 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
