| Entity Name: | GULFSIDE CENTER FOR PSYCHOLOGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 03 Feb 2004 (21 years ago) |
| Date of dissolution: | 23 Jun 2010 (15 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 23 Jun 2010 (15 years ago) |
| Document Number: | P04000022140 |
| FEI/EIN Number | 432042830 |
| Address: | 12641 WORLD PLAZA LANE, #56, FORT MYERS, FL, 33907, US |
| Mail Address: | 12641 WORLD PLAZA LANE, #56, FORT MYERS, FL, 33907, US |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760514590 | 2007-03-09 | 2020-08-22 | 12641 WORLD PLAZA LN, #56, FT MYERS, FL, 33907, US | 12641 WORLD PLAZA LN, #56, FT MYERS, FL, 33907, US | |||||||||||||||||||
|
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| Phone | +1 239-274-3846 |
| Fax | 2399394662 |
Authorized person
| Name | DR. AUDREY R MORRILL |
| Role | DIRECTOR PRESIDENT |
| Phone | 2392743846 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6697 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MORRLLL AUDREY | Agent | 12641 WORLD PLAZA LN 56, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| MORRILL AUDREY R | Director | 12641 WORLD PLAZA LANE, #56, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2010-06-23 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2009-04-26 | MORRLLL, AUDREY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2007-04-03 | 12641 WORLD PLAZA LN 56, FORT MYERS, FL 33907 | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2010-06-23 |
| ANNUAL REPORT | 2009-04-26 |
| ANNUAL REPORT | 2008-04-20 |
| ANNUAL REPORT | 2007-04-03 |
| ANNUAL REPORT | 2006-03-14 |
| ANNUAL REPORT | 2005-04-29 |
| Domestic Profit | 2004-02-04 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
