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SUE LEVY, PSY.D, LCSW., P.A. - Florida Company Profile

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Company Details

Entity Name: SUE LEVY, PSY.D, LCSW., P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 04 Sep 2001 (24 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 01 Oct 2014 (11 years ago)
Document Number: P01000086703
FEI/EIN Number 651136661
Address: 3959 S NOVA RD SUITE 23, PORT ORANGE, FL, 32127, US
Mail Address: 6103 SANCTUARY GARDEN BLVD, PORT ORANGE, FL, 32128, US
ZIP code: 32127
City: Port Orange
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
LEVY SUE Secretary 6103 SANCTUARY BLVD, PORT ORANGE, FL, 32128
LEVY SUE President 6103 SANCTUARY BLVD, PORT ORANGE, FL, 32128
LEVY SUE Treasurer 6103 SANCTUARY BLVD, PORT ORANGE, FL, 32128
LEVY SUE Director 6103 SANCTUARY BLVD, PORT ORANGE, FL, 32128
LEVY SUE Agent 3959 S NOVA RD SUITE 23, PORT ORANGE, FL, 32127

National Provider Identifier

NPI Number:
1124201983
Certification Date:
2022-03-08

Authorized Person:

Name:
SUE LEVY
Role:
PRESIDENT/PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
3862538579
Fax:
3862538439

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-04-24 3959 S NOVA RD SUITE 23, PORT ORANGE, FL 32127 -
REGISTERED AGENT ADDRESS CHANGED 2021-04-24 3959 S NOVA RD SUITE 23, PORT ORANGE, FL 32127 -
REINSTATEMENT 2014-10-01 - -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2014-09-26 - -
REINSTATEMENT 2012-04-19 - -
CHANGE OF MAILING ADDRESS 2012-04-19 3959 S NOVA RD SUITE 23, PORT ORANGE, FL 32127 -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2010-09-24 - -
NAME CHANGE AMENDMENT 2008-05-28 SUE LEVY, PSY.D, LCSW., P.A. -
REGISTERED AGENT NAME CHANGED 2008-05-02 LEVY, SUE -

Debts

Document Number Status Case Number Name of Court Date of Entry Expiration Date Amount Due Plaintiff
J17000465940 TERMINATED 1000000752761 BROWARD 2017-08-04 2027-08-11 $ 544.54 STATE OF FLORIDA, DEPARTMENT OF REVENUE, CORAL SPRINGS SERVICE CENTER, 3301 N UNIVERSITY DR STE 200, CORAL SPRINGS FL330654149

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-30
ANNUAL REPORT 2022-04-27
ANNUAL REPORT 2021-04-24
ANNUAL REPORT 2020-06-25
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-27
ANNUAL REPORT 2017-04-22
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-22

USAspending Awards / Financial Assistance

Date:
2020-05-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 02 Aug 2025

Sources: Florida Department of State