| Entity Name: | THE CENTER FOR PSYCHOLOGY, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 19 Jun 2009 (16 years ago) |
| Date of dissolution: | 29 Jun 2009 (16 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 29 Jun 2009 (16 years ago) |
| Document Number: | P09000053173 |
| Address: | 12587 NEW BRITTANY BOULEVARD, SUITE 21, FORT MYERS, FL, 33907 |
| Mail Address: | 12587 NEW BRITTANY BOULEVARD, SUITE 21, FORT MYERS, FL, 33907 |
| ZIP code: | 33907 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1952309296 | 2005-07-11 | 2022-04-11 | 12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL, 339075676, US | 12499 BRANTLEY COMMONS CT, SUITE 101, FORT MYERS, FL, 339075676, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 239-278-3443 |
| Fax | 2392783550 |
Authorized person
| Name | DR. STEVEN D COHEN |
| Role | PRESIDENT |
| Phone | 2392783443 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY0003794 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY3794 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TH0100X - Health Service Psychologist |
| License Number | PY3794 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| SPELLMAN MICHAEL B | Agent | 12587 NEW BRITTANY BOULEVARD, FORT MYERS, FL, 33907 |
| Name | Role | Address |
|---|---|---|
| COHEN STEVEN D | President | 12587 NEW BRITTANY BOULEVARD, SUITE 21, FORT MYERS, FL, 33907 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2009-06-29 | No data | No data |
| Name | Date |
|---|---|
| Voluntary Dissolution | 2009-06-29 |
| Domestic Profit | 2009-06-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
