| Entity Name: | STEPHANIE SUMMERS, LMFT, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 21 Jul 2005 (20 years ago) |
| Date of dissolution: | 08 May 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISS W/ NOTICE |
| Event Date Filed: | 08 May 2013 (12 years ago) |
| Document Number: | P05000102302 |
| FEI/EIN Number | 203221656 |
| Address: | 11543 HALETHORPE DR, JACKSONVILLE, FL, 32223 |
| Mail Address: | P O BOX 600293, JACKSONVILLE, FL, 32260 |
| ZIP code: | 32223 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164542270 | 2007-03-30 | 2008-03-11 | 12412 SAN JOSE BLVD, SUITE 102C, JACKSONVILLE, FL, 322238621, US | 12412 SAN JOSE BLVD, SUITE 102C, JACKSONVILLE, FL, 322238621, US | |||||||||||||||||||||||
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| Phone | +1 904-268-9178 |
Authorized person
| Name | STEPHANIE ANN SUMMERS |
| Role | OFFICER |
| Phone | 9042689178 |
Taxonomy
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| License Number | MT2128 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PROFESSIONAL LICENSE NUMB |
| Number | MT2128 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SUMMERS STEPHANIE | Agent | 11543 HALETHORPE DR, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| SUMMERS STEPHANIE | Director | 11543 HALETHORPE DR, JACKSONVILLE, FL, 32223 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISS W/ NOTICE | 2013-05-08 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2011-01-13 | 11543 HALETHORPE DR, JACKSONVILLE, FL 32223 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2013-01-28 |
| ANNUAL REPORT | 2012-01-09 |
| ANNUAL REPORT | 2011-01-13 |
| ANNUAL REPORT | 2010-01-19 |
| ANNUAL REPORT | 2009-01-08 |
| ANNUAL REPORT | 2008-01-25 |
| ANNUAL REPORT | 2007-01-11 |
| ANNUAL REPORT | 2006-01-23 |
| Domestic Profit | 2005-07-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
