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DEBORAH D. HANNA, LCSW, PA

Company Details

Entity Name: DEBORAH D. HANNA, LCSW, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 15 Dec 2008 (16 years ago)
Date of dissolution: 25 Sep 2020 (4 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 25 Sep 2020 (4 years ago)
Document Number: P08000108201
FEI/EIN Number 263867795
Address: 1301 Riverplace Blvd, Jacksonville, FL, 32207, US
Mail Address: 1301 Riverplace Blvd, Jacksonville, FL, 32004, US
ZIP code: 32207
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366684631 2009-04-01 2009-04-01 PO BOX 721, PONTE VEDRA BEACH, FL, 320040721, US 100 EXECUTIVE WAY, SUITE 113, PONTE VEDRA BEACH, FL, 320822715, US

Contacts

Phone +1 904-273-6747
Fax 9042736861

Authorized person

Name MS. DEBORAH D HANNA
Role OWNER
Phone 9042736747

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
HANNA DEBORAH Agent 1301 Riverplace Blvd, Jacksonville, FL, 32004

President

Name Role Address
HANNA DEBORAH President 1301 Riverplace Blvd, Jacksonville, FL, 32004

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2020-09-25 No data No data
CHANGE OF PRINCIPAL ADDRESS 2018-04-30 1301 Riverplace Blvd, Suite 800, Jacksonville, FL 32207 No data
CHANGE OF MAILING ADDRESS 2018-04-30 1301 Riverplace Blvd, Suite 800, Jacksonville, FL 32207 No data
REGISTERED AGENT ADDRESS CHANGED 2018-04-30 1301 Riverplace Blvd, Suite 800, Jacksonville, FL 32004 No data

Documents

Name Date
ANNUAL REPORT 2019-04-28
ANNUAL REPORT 2018-04-30
ANNUAL REPORT 2017-05-01
ANNUAL REPORT 2016-02-16
ANNUAL REPORT 2015-03-25
ANNUAL REPORT 2014-04-12
ANNUAL REPORT 2013-04-25
ANNUAL REPORT 2012-04-25
ANNUAL REPORT 2011-04-29
ANNUAL REPORT 2010-04-30

Date of last update: 01 Jan 2025

Sources: Florida Department of State