| Entity Name: | LARRY M. KIRKLAND, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 04 Mar 2005 (20 years ago) |
| Date of dissolution: | 15 Mar 2021 (4 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 15 Mar 2021 (4 years ago) |
| Document Number: | P05000038478 |
| FEI/EIN Number | 810673284 |
| Address: | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL, 32465 |
| Mail Address: | 141 Brandywine Drive, Yorktown, VA, 23692, US |
| ZIP code: | 32465 |
| County: | Gulf |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497027213 | 2012-02-09 | 2012-02-09 | 285 W LAKEVIEW DR, WEWAHITCHKA, FL, 324657525, US | 4435 MARION ST, MARIANNA, FL, 324484630, US | |||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||
| Phone | +1 850-323-1002 |
| Fax | 8504820015 |
| Phone | +1 850-482-0019 |
Authorized person
| Name | MR. LARRY M. KIRKLAND |
| Role | PRESIDENT/OWNER |
| Phone | 8503231002 |
Taxonomy
| Taxonomy Code | 101YP2500X - Professional Counselor |
| License Number | MH8715 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 001235600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KIRKLAND LARRY M | Agent | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL, 32465 |
| Name | Role | Address |
|---|---|---|
| KIRKLAND LARRY M | Manager | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL, 32465 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G09006901084 | MELNLAR | EXPIRED | 2009-01-06 | 2014-12-31 | No data | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL, 32465 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-15 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2020-04-18 | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL 32465 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2006-08-14 | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL 32465 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-08-14 | 285 WEST LAKEVIEW DRIVE, WEWAHITCHKA, FL 32465 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2021-03-15 |
| ANNUAL REPORT | 2020-04-18 |
| ANNUAL REPORT | 2019-05-14 |
| ANNUAL REPORT | 2018-04-19 |
| ANNUAL REPORT | 2017-04-10 |
| ANNUAL REPORT | 2016-03-28 |
| ANNUAL REPORT | 2015-04-25 |
| ANNUAL REPORT | 2014-04-23 |
| ANNUAL REPORT | 2013-04-30 |
| ANNUAL REPORT | 2012-05-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
