| Entity Name: | LIVING WELL PSYCHOTHERAPY ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 20 Jan 2004 (21 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 12 Mar 2010 (15 years ago) |
| Document Number: | P04000016262 |
| FEI/EIN Number | 341995549 |
| Address: | 10225 Ulmerton Road, Building 6, Largo, FL, 33771, US |
| Mail Address: | 10225 Ulmerton Road, Building 6, Largo, FL, 33771, US |
| ZIP code: | 33771 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548205917 | 2006-06-18 | 2012-12-17 | 13800 PARK BLVD STE 206, SEMINOLE, FL, 337763439, US | 13800 PARK BLVD STE 206, SEMINOLE, FL, 337763439, US | |||||||||||||||
|
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| Phone | +1 727-391-9800 |
| Fax | 7273919882 |
Authorized person
| Name | JILL FISCHER-PETERS |
| Role | OWNER |
| Phone | 7273919800 |
Taxonomy
| Taxonomy Code | 302F00000X - Exclusive Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FISCHER-PETERS JILL A | Agent | 10225 Ulmerton Road, Largo, FL, 33771 |
| Name | Role | Address |
|---|---|---|
| FISCHER-PETERS JILL | President | 10225 Ulmerton Road, Largo, FL, 33771 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-07-27 | 10225 Ulmerton Road, Building 6, Suite 6A, Largo, FL 33771 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-02-04 | 10225 Ulmerton Road, Building 6, Suite 6A, Largo, FL 33771 | No data |
| CHANGE OF MAILING ADDRESS | 2021-02-04 | 10225 Ulmerton Road, Building 6, Suite 6A, Largo, FL 33771 | No data |
| REGISTERED AGENT NAME CHANGED | 2012-01-13 | FISCHER-PETERS, JILL A | No data |
| CANCEL ADM DISS/REV | 2010-03-12 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| REINSTATEMENT | 2006-03-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2005-09-16 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-07-27 |
| ANNUAL REPORT | 2021-02-04 |
| ANNUAL REPORT | 2020-01-24 |
| ANNUAL REPORT | 2019-02-20 |
| ANNUAL REPORT | 2018-01-18 |
| ANNUAL REPORT | 2017-01-13 |
| ANNUAL REPORT | 2016-01-19 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
