| Entity Name: | WILLOWDEAN D. TILLER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Feb 2007 (18 years ago) |
| Last Event: | CANCEL ADM DISS/REV |
| Event Date Filed: | 23 Apr 2009 (16 years ago) |
| Document Number: | P07000026232 |
| FEI/EIN Number | 208566706 |
| Address: | 801 Jenks Ave, PANAMA CITY, FL, 32401, US |
| Mail Address: | 202 Lannie Rowe Drive, PANAMA CITY, FL, 32404, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730486663 | 2011-02-11 | 2011-02-11 | 128 CHRISTIE LN, PANAMA CITY, FL, 324047650, US | 801 JENKS AVE, SUITE C, PANAMA CITY, FL, 324012576, US | |||||||||||||||||
|
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| Phone | +1 850-640-1020 |
Authorized person
| Name | MRS. WILLOWDEAN D TILLER |
| Role | CEO/COUNSELOR |
| Phone | 8506401020 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH 6007 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| TILLER MICHAEL W | Agent | 202 LANNIE ROWE DRIVE, PANAMA CITY, FL, 32404 |
| Name | Role | Address |
|---|---|---|
| TILLER WILLOWDEAN D | Chief Executive Officer | 202 Lannie Rowe Drive, PANAMA CITY, FL, 32404 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000030203 | ACCOLADE COUNSELOING | ACTIVE | 2024-02-27 | 2029-12-31 | No data | 801 JENKS AVE, SUITE C, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-05-01 | 202 LANNIE ROWE DRIVE, PANAMA CITY, FL 32404 | No data |
| CHANGE OF MAILING ADDRESS | 2021-04-12 | 801 Jenks Ave, C, PANAMA CITY, FL 32401 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-04-27 | 801 Jenks Ave, C, PANAMA CITY, FL 32401 | No data |
| CANCEL ADM DISS/REV | 2009-04-23 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-02-15 |
| ANNUAL REPORT | 2022-05-01 |
| ANNUAL REPORT | 2021-04-12 |
| ANNUAL REPORT | 2020-04-27 |
| ANNUAL REPORT | 2019-05-02 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-04-20 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
