| Entity Name: | KARA M. HENDRY, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Nov 2006 (18 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 19 Feb 2007 (18 years ago) |
| Document Number: | P06000147363 |
| FEI/EIN Number | 205971890 |
| Address: | 4846 MIRAMAR DR., # 1413, MADEIRA BEACH, FL, 33708, US |
| Mail Address: | 4846 MIRAMAR DR., # 1413, MADEIRA BEACH, FL, 33708, US |
| ZIP code: | 33708 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346364551 | 2007-03-16 | 2009-05-18 | PO BOX 47918, ST PETERSBURG, FL, 337437918, US | 5348 1ST AVE N, ST PETERSBURG, FL, 337108106, US | |||||||||||||||||||||||||
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| Phone | +1 727-322-6123 |
| Fax | 7273226143 |
Authorized person
| Name | DR. KARA MATILE HENDRY |
| Role | PRESIDENT |
| Phone | 7273226123 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6690 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | ORIGINAL NPI # |
| Number | 1306947809 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| HENDRY DONALD W | Agent | 31622 US 19 N, PALM HARBOR, FL, 34684 |
| Name | Role | Address |
|---|---|---|
| HENDRY KARA MDr. | President | 4846 MIRAMAR DR/#1413, Madeira Beach, FL, 33708 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-05 | 4846 MIRAMAR DR., # 1413, MADEIRA BEACH, FL 33708 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-05 | 4846 MIRAMAR DR., # 1413, MADEIRA BEACH, FL 33708 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2010-01-10 | 31622 US 19 N, PALM HARBOR, FL 34684 | No data |
| REGISTERED AGENT NAME CHANGED | 2008-03-27 | HENDRY, DONALD WCPA | No data |
| NAME CHANGE AMENDMENT | 2007-02-19 | KARA M. HENDRY, PSY.D., P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-23 |
| ANNUAL REPORT | 2021-01-17 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-07 |
| ANNUAL REPORT | 2018-01-19 |
| ANNUAL REPORT | 2017-03-19 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-01-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
