| Entity Name: | CENTER FOR INTEGRATED COUNSELING AND NEUROPSYCHOLOGY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 28 Jun 2005 (20 years ago) |
| Date of dissolution: | 14 Sep 2007 (17 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 14 Sep 2007 (17 years ago) |
| Document Number: | P05000091789 |
| FEI/EIN Number | 203153890 |
| Address: | 8473 WEST LINEBAUGH AVE., TAMPA, FL, 33626, US |
| Mail Address: | 8473 WEST LINEBAUGH AVE., TAMPA, FL, 33626, US |
| ZIP code: | 33626 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255412011 | 2006-10-18 | 2020-08-22 | 8473 W LINEBAUGH AVE, TAMPA, FL, 336253729, US | 8473 W LINEBAUGH AVE, TAMPA, FL, 336253729, US | |||||||||||||||||||
|
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| Phone | +1 813-792-2121 |
| Fax | 8137922122 |
Authorized person
| Name | NANCY A TETEN |
| Role | OWNER/DIRECTOR |
| Phone | 8137922121 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW7429 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TETEN NANCY A | Agent | 8473 WEST LINEBAUGH AVENUE, TAMPA, FL, 33626 |
| Name | Role | Address |
|---|---|---|
| TETEN NANCY A | President | 15919 MARSHFIELD DR., TAMPA, FL, 33624 |
| Name | Role | Address |
|---|---|---|
| MCBRIDE ANGELA M | Vice President | 11706 NORTH DRIVE, TAMPA, FL, 336171812 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2007-09-14 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2006-04-21 |
| Domestic Profit | 2005-06-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
