| Entity Name: | SUZETTE SMITH LCSW, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 May 2010 (15 years ago) |
| Date of dissolution: | 23 Sep 2011 (13 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2011 (13 years ago) |
| Document Number: | P10000040551 |
| Address: | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401, US |
| Mail Address: | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401, US |
| ZIP code: | 32401 |
| County: | Bay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023339579 | 2010-06-18 | 2010-06-18 | 1103 FORTUNE AVE, PANAMA CITY, FL, 324011831, US | 1103 FORTUNE AVE, PANAMA CITY, FL, 324011831, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-769-6188 |
| Fax | 8507692366 |
Authorized person
| Name | MS. SUZETTE MARIE SMITH |
| Role | LCSW |
| Phone | 8507696188 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW9170 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | Agent | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | President | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | Vice President | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | Secretary | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | Treasurer | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Name | Role | Address |
|---|---|---|
| SMITH SUZETTE | Director | 1103 FORTUNE AVE, PANAMA CITY, FL, 32401 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| Name | Date |
|---|---|
| Domestic Profit | 2010-05-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
