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CRUTCHFIELD COUNSELING, INC.

Company Details

Entity Name: CRUTCHFIELD COUNSELING, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 31 Aug 2007 (17 years ago)
Last Event: AMENDMENT
Event Date Filed: 08 Oct 2020 (4 years ago)
Document Number: P07000097797
FEI/EIN Number 753252051
Address: 1589 MAIN ST, DUNEDIN, FL, 34698, US
Mail Address: P.O. BOX 605, SAFETY HARBOR, FL, 34695, US
ZIP code: 34698
County: Pinellas
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1194911313 2007-09-20 2008-06-18 PO BOX 605, SAFETY HARBOR, FL, 346950605, US 1613 MAIN ST, DUNEDIN, FL, 346984759, US

Contacts

Phone +1 727-736-3132
Fax 7277363052

Authorized person

Name DR. GLORIA P CRUTCHFIELD
Role PRESIDENT/PSYCHOLOGIST
Phone 7277363132

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
License Number PY5217
State FL
Is Primary Yes
Taxonomy Code 1041C0700X - Clinical Social Worker
License Number SW4752
State FL
Is Primary No

Agent

Name Role Address
CRUTCHFIELD JAMES Agent 1589 Main Street, Dunedin, FL, 34698

President

Name Role Address
CRUTCHFIELD JAMES President 1589 MAIN ST, DUNEDIN, FL, 34698

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2024-03-06 1589 MAIN ST, DUNEDIN, FL 34698 No data
REGISTERED AGENT ADDRESS CHANGED 2024-03-06 1589 Main Street, Dunedin, FL 34698 No data
AMENDMENT 2020-10-08 No data No data
CHANGE OF MAILING ADDRESS 2010-02-17 1589 MAIN ST, DUNEDIN, FL 34698 No data
CANCEL ADM DISS/REV 2008-10-28 No data No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2008-09-26 No data No data

Documents

Name Date
ANNUAL REPORT 2024-03-06
ANNUAL REPORT 2023-03-08
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-03-16
Amendment 2020-10-08
ANNUAL REPORT 2020-02-15
ANNUAL REPORT 2019-04-16
ANNUAL REPORT 2018-03-03
ANNUAL REPORT 2017-01-27
ANNUAL REPORT 2016-03-03

Date of last update: 02 Feb 2025

Sources: Florida Department of State