| Entity Name: | JOEL G. PRATHER, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 09 Jun 2006 (19 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Jun 2011 (14 years ago) |
| Document Number: | P06000080193 |
| FEI/EIN Number | 223935355 |
| Address: | 12133 PANAMA CITY BEACH PARKWAY, PANAMA CITY BEACH, FL, 32407, US |
| Mail Address: | 12133 Panama City Beach Parkway, PANAMA CITY BEACH, FL, 32407, US |
| ZIP code: | 32407 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477729895 | 2008-05-06 | 2024-10-18 | 12133 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL, 324072609, US | 12133 PANAMA CITY BEACH PKWY, PANAMA CITY BEACH, FL, 324072609, US | |||||||||||||||||||||||||
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| Phone | +1 850-249-9636 |
| Fax | 8502499635 |
Authorized person
| Name | DR. JOEL G PRATHER |
| Role | PRESIDENT |
| Phone | 8502499736 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH9104 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 768539400 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PRATHER JOEL G | Agent | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| PRATHER JOEL G | President | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| PRATHER JOEL G | Secretary | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Fling Chelsea M | Secretary | 12133 PANAMA CITY BEACH PARKWAY, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| PRATHER JOEL G | Treasurer | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Name | Role | Address |
|---|---|---|
| PRATHER JOEL G | Director | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL, 32407 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G15000057491 | BEACH COUNSELING AND PSYCHOLOGICAL SERVICES | ACTIVE | 2015-06-10 | 2025-12-31 | No data | 12133 PANAMA CITY BEACH PARKWAY, PANAMA CITY BEACH, FL, 32407 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2017-03-21 | 12133 PANAMA CITY BEACH PARKWAY, PANAMA CITY BEACH, FL 32407 | No data |
| CHANGE OF MAILING ADDRESS | 2017-03-21 | 12133 PANAMA CITY BEACH PARKWAY, PANAMA CITY BEACH, FL 32407 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-08-21 | 126 GRAND HERON DRIVE, PANAMA CITY BEACH, FL 32407 | No data |
| NAME CHANGE AMENDMENT | 2011-06-14 | JOEL G. PRATHER, PSY., P.A. | No data |
| REGISTERED AGENT NAME CHANGED | 2010-04-29 | PRATHER, JOEL G | No data |
| CANCEL ADM DISS/REV | 2009-02-09 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J13000977695 | TERMINATED | 1000000508397 | BAY | 2013-05-08 | 2023-05-22 | $ 350.00 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PANAMA CITY SERVICE CENTER, 210 N TYNDALL PKWY, PANAMA CITY FL324046432 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-03-24 |
| ANNUAL REPORT | 2022-03-03 |
| ANNUAL REPORT | 2021-02-17 |
| ANNUAL REPORT | 2020-03-24 |
| ANNUAL REPORT | 2019-09-03 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-03-21 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
