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MYRNA I VALLE, LMHC, PA

Company Details

Entity Name: MYRNA I VALLE, LMHC, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 09 Jul 2008 (17 years ago)
Document Number: P08000065658
FEI/EIN Number 262958950
Address: 14505 BRUCE B DOWNS BLVD, TAMPA, FL, 33613
Mail Address: 14505 BRUCE B DOWNS BLVD, TAMPA, FL, 33613
ZIP code: 33613
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083980361 2012-03-30 2012-03-30 14505 BRUCE B. DOWNS BLVD., TAMPS, FL, 336132789, US 14505 BRUCE B. DOWNS BLVD., TAMPS, FL, 336132789, US

Contacts

Phone +1 813-786-3100
Fax 8139107828

Authorized person

Name MRS. MYRNA I. VALLE
Role PRESIDENT
Phone 8137863100

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
License Number MH3852
State FL
Is Primary Yes

Agent

Name Role Address
VALLE MYRNA I Agent 14505 BRUCE B DOWNS BLVD, TAMPA, FL, 33613

President

Name Role Address
VALLE MYRNA I President 14505 BRUCE B DOWNS BLVD, TAMPA, FL, 33613

Documents

Name Date
ANNUAL REPORT 2024-04-16
ANNUAL REPORT 2023-04-17
ANNUAL REPORT 2022-04-18
ANNUAL REPORT 2021-04-12
ANNUAL REPORT 2020-04-05
ANNUAL REPORT 2019-04-15
ANNUAL REPORT 2018-04-03
ANNUAL REPORT 2017-04-27
ANNUAL REPORT 2016-03-29
ANNUAL REPORT 2015-02-11

Date of last update: 02 Feb 2025

Sources: Florida Department of State