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MEDICAL PSYCHOLOGY CENTER, PA - Florida Company Profile

Company Details

Entity Name: MEDICAL PSYCHOLOGY CENTER, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit

MEDICAL PSYCHOLOGY CENTER, PA is structured as a Domestic Profit Corporation, which, in Florida signifies a Profit Corporation (also known as a C-Corporation). This business structure is recognized as a separate legal entity from its owners. This offers shareholders the benefit of limited liability protection, safeguarding their personal assets from the corporation's debts and obligations, and facilitates raising capital through the issuance of stock. In Florida, Domestic Profit Corporations are governed by Title XXXVI, Chapter 607, Florida Statutes – Florida Business Corporation Act.

Status: Active

The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness.

Date Filed: 03 Jan 2006 (19 years ago)
Last Event: CANCEL ADM DISS/REV
Event Date Filed: 22 Oct 2007 (18 years ago)
Document Number: P06000000277
FEI/EIN Number 204024751

Federal Employer Identification (FEI) Number assigned by the IRS.

Address: 570 MEMORIAL CIRCLE, SUITE 150, ORMOND BEACH, FL, 32174, US
Mail Address: 570 MEMORIAL CIRCLE, SUITE 150, ORMOND BEACH, FL, 32174, US
ZIP code: 32174
County: Volusia
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881891174 2007-06-29 2009-01-16 570 MEMORIAL CIR, STE 150, ORMOND BEACH, FL, 321745002, US 570 MEMORIAL CIR, STE 150, ORMOND BEACH, FL, 321745002, US

Contacts

Phone +1 386-672-9250
Fax 3866729251

Authorized person

Name DR. KATHERINE MARIE BILLIOT
Role PRESIDENT
Phone 3866729250

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY7252
State FL
Is Primary Yes

Key Officers & Management

Name Role Address
BILLIOT KATHERINE M Agent 570 MEMORIAL CIRCLE, ORMOND BEACH, FL, 32174
BILLIOT KATHERINE M President 570 MEMORIAL CIRCLE STE 150, ORMOND BEACH, FL, 32174

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2009-01-19 570 MEMORIAL CIRCLE, SUITE 150, ORMOND BEACH, FL 32174 -
CHANGE OF MAILING ADDRESS 2009-01-19 570 MEMORIAL CIRCLE, SUITE 150, ORMOND BEACH, FL 32174 -
REGISTERED AGENT ADDRESS CHANGED 2009-01-19 570 MEMORIAL CIRCLE, SUITE 150, ORMOND BEACH, FL 32174 -
CANCEL ADM DISS/REV 2007-10-22 - -
REGISTERED AGENT NAME CHANGED 2007-10-22 BILLIOT, KATHERINE M -
ADMIN DISSOLUTION FOR ANNUAL REPORT 2007-09-14 - -

Documents

Name Date
ANNUAL REPORT 2024-01-11
ANNUAL REPORT 2023-03-20
ANNUAL REPORT 2022-02-25
ANNUAL REPORT 2021-03-16
ANNUAL REPORT 2020-01-20
ANNUAL REPORT 2019-03-07
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-08
ANNUAL REPORT 2016-01-14
ANNUAL REPORT 2015-02-23

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9747397702 2020-05-01 0491 PPP 570 Memorial Circle, Suite 150, Ormond Beach, FL, 32174-5062
Loan Status Date 2021-04-21
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58771.25
Loan Approval Amount (current) 58771.25
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ormond Beach, VOLUSIA, FL, 32174-5062
Project Congressional District FL-06
Number of Employees 7
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59262.35
Forgiveness Paid Date 2021-03-08
8635758602 2021-03-25 0491 PPS 570 Memorial Cir Ste 150, Ormond Beach, FL, 32174-5062
Loan Status Date 2021-09-28
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 58771.25
Loan Approval Amount (current) 58771.25
Undisbursed Amount 0
Franchise Name -
Lender Location ID 19248
Servicing Lender Name Synovus Bank
Servicing Lender Address 1148 Broadway, COLUMBUS, GA, 31901-2429
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Ormond Beach, VOLUSIA, FL, 32174-5062
Project Congressional District FL-06
Number of Employees 7
NAICS code 621330
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Corporation
Originating Lender ID 19248
Originating Lender Name Synovus Bank
Originating Lender Address COLUMBUS, GA
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 59019.22
Forgiveness Paid Date 2021-09-01

Date of last update: 02 May 2025

Sources: Florida Department of State