| Entity Name: | MARGO GODREAU, M.A., LMHC, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 01 Feb 2002 (23 years ago) |
| Date of dissolution: | 08 Nov 2010 (14 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 08 Nov 2010 (14 years ago) |
| Document Number: | P02000013563 |
| FEI/EIN Number | 043625442 |
| Address: | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Mail Address: | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| ZIP code: | 34233 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942364229 | 2006-12-20 | 2010-03-24 | 5662 COUNTRY WALK LN, SARASOTA, FL, 342333264, US | 5662 COUNTRY WALK LN, SARASOTA, FL, 342333264, US | |||||||||||||||||||||||||
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| Phone | +1 941-302-2690 |
| Fax | 9413426712 |
Authorized person
| Name | MARY MARGARET GODREAU |
| Role | PRESIDENT |
| Phone | 9413022690 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH0003158 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | Z9013 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BRADFORD GABRIEL | Agent | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| GODREAU MARY MARGARET | Director | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| GODREAU MARY MARGARET | President | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| GODREAU MARY MARGARET | Treasurer | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Name | Role | Address |
|---|---|---|
| GODREAU MARY MARGARET | Secretary | 5662 COUNTRY WALK LANE, SARASOTA, FL, 34233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-11-08 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-04-29 | 5662 COUNTRY WALK LANE, SARASOTA, FL 34233 | No data |
| CHANGE OF MAILING ADDRESS | 2010-04-29 | 5662 COUNTRY WALK LANE, SARASOTA, FL 34233 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-04-29 | 5662 COUNTRY WALK LANE, SARASOTA, FL 34233 | No data |
| NAME CHANGE AMENDMENT | 2006-05-08 | MARGO GODREAU, M.A., LMHC, P.A. | No data |
| NAME CHANGE AMENDMENT | 2002-09-10 | MARGO BURCHIM, M.A., LMHC, P.A. | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-11-08 |
| ANNUAL REPORT | 2010-04-29 |
| ANNUAL REPORT | 2009-04-27 |
| ANNUAL REPORT | 2008-04-29 |
| ANNUAL REPORT | 2007-04-27 |
| Name Change | 2006-05-08 |
| ANNUAL REPORT | 2006-04-12 |
| ANNUAL REPORT | 2005-03-18 |
| ANNUAL REPORT | 2004-04-29 |
| ANNUAL REPORT | 2003-04-28 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
