| Entity Name: | LYNDA S. WALLS, PH.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Feb 2012 (13 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 07 Dec 2018 (6 years ago) |
| Document Number: | P12000019918 |
| FEI/EIN Number | 45-4655671 |
| Address: | 931 CASSAT AVE, JACKSONVILLE, FL, 32205, US |
| Mail Address: | 1122 BEACH DUNE DR, JACKSONVILLE, FL, 32233, US |
| ZIP code: | 32205 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245598499 | 2012-04-25 | 2012-04-25 | 13018 VIBURNUM DR N, JACKSONVILLE, FL, 322461144, US | 931 CASSAT AVE, JACKSONVILLE, FL, 322054857, US | |||||||||||||||||||
|
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| Phone | +1 904-536-8095 |
| Phone | +1 904-388-2828 |
Authorized person
| Name | DR. LYNDA SMITH WALLS |
| Role | OWNER |
| Phone | 9045368095 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | 4887 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WALLS LYNDA S | Agent | 1122 BEACH DUNE DR, JACKSONVILLE, FL, 32233 |
| Name | Role | Address |
|---|---|---|
| WALLS LYNDA S | President | 1122 BEACH DUNE DR, JACKSONVILLE, FL, 32233 |
| Name | Role | Address |
|---|---|---|
| WALLS LYNDA S | Director | 1122 BEACH DUNE DR, JACKSONVILLE, FL, 32233 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-01-11 | 931 CASSAT AVE, JACKSONVILLE, FL 32205 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-11 | 1122 BEACH DUNE DR, JACKSONVILLE, FL 32233 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-22 | 931 CASSAT AVE, JACKSONVILLE, FL 32205 | No data |
| REINSTATEMENT | 2018-12-07 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2018-12-07 | WALLS, LYNDA S | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2016-09-23 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-09 |
| ANNUAL REPORT | 2023-01-11 |
| ANNUAL REPORT | 2022-01-11 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-22 |
| REINSTATEMENT | 2018-12-07 |
| ANNUAL REPORT | 2015-01-22 |
| ANNUAL REPORT | 2014-04-29 |
| ANNUAL REPORT | 2013-01-11 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
