| Entity Name: | SUNRISE PSYCHOLOGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Nov 2002 (22 years ago) |
| Date of dissolution: | 24 May 2022 (3 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 24 May 2022 (3 years ago) |
| Document Number: | P02000124031 |
| FEI/EIN Number | 03-0495940 |
| Address: | 14398 Manchester Drive, NAPLES, FL 34114 |
| Mail Address: | 14398 Manchester Drive, NAPLES, FL 34114 |
| ZIP code: | 34114 |
| County: | Collier |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1356441216 | 2006-09-22 | 2019-10-29 | 14398 MANCHESTER DR, NAPLES, FL, 341148626, US | 950 N COLLIER BLVD FL 4, MARCO ISLAND, FL, 341452725, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 239-280-6061 |
Authorized person
| Name | DR. CONSTANCE ARIA |
| Role | PRESIDENT |
| Phone | 2392806061 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY3245 |
| State | FL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 75280 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| ARIA, CONSTANCE | Agent | 14398 Manchester Drive, NAPLES, FL 34114 |
| Name | Role | Address |
|---|---|---|
| ARIA, CONSTANCE | Director | 14398 Manchester Drive, NAPLES, FL 34114 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-05-24 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-01-15 | 14398 Manchester Drive, NAPLES, FL 34114 | No data |
| CHANGE OF MAILING ADDRESS | 2017-01-15 | 14398 Manchester Drive, NAPLES, FL 34114 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-15 | 14398 Manchester Drive, NAPLES, FL 34114 | No data |
| REGISTERED AGENT NAME CHANGED | 2006-04-23 | ARIA, CONSTANCE | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2022-05-24 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-22 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-01-24 |
| ANNUAL REPORT | 2017-01-15 |
| ANNUAL REPORT | 2016-01-23 |
| ANNUAL REPORT | 2015-01-17 |
| ANNUAL REPORT | 2014-02-26 |
Date of last update: 30 Jan 2025
Sources: Florida Department of State
