| Entity Name: | VOLUSIA NEUROPSYCHOLOGY & BEHAVIORAL HEALTH, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 30 Sep 2003 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 08 Nov 2005 (19 years ago) |
| Document Number: | P03000107504 |
| FEI/EIN Number | 270068327 |
| Address: | 512 Canal Street, NEW SMYRNA BEACH, FL, 32168, US |
| Mail Address: | 512 Canal Street, NEW SMYRNA BEACH, FL, 32168, US |
| ZIP code: | 32168 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033313903 | 2007-06-13 | 2008-08-29 | 221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL, 321695298, US | 221 N CAUSEWAY, SUITE B, NEW SMYRNA BEACH, FL, 321695298, US | |||||||||||||||||||||||||||
|
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| Phone | +1 386-423-0442 |
| Fax | 3864230402 |
Authorized person
| Name | DR. LISA SUNDVALL MERILSON |
| Role | PSYCHOLOGIST |
| Phone | 3864230442 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY6889 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY6889 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MERILSON LISA S | Agent | 512 Canal Street, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| MERILSON LISA S | President | 512 Canal Street, NEW SMYRNA BEACH, FL, 32168 |
| Name | Role | Address |
|---|---|---|
| Merilson Brent A | Manager | 4836 S Atlantic Ave, New Smyrna Beach, FL, 32169 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-11 | 512 Canal Street, NEW SMYRNA BEACH, FL 32168 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-11 | 512 Canal Street, NEW SMYRNA BEACH, FL 32168 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-04-11 | 512 Canal Street, NEW SMYRNA BEACH, FL 32168 | No data |
| CANCEL ADM DISS/REV | 2005-11-08 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-04-11 |
| ANNUAL REPORT | 2021-03-16 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-01-17 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-02-01 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
