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KIMBERLY J. MILLER, PSYD, INC.

Company Details

Entity Name: KIMBERLY J. MILLER, PSYD, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 02 Oct 2012 (12 years ago)
Document Number: P12000083066
FEI/EIN Number 46-1100985
Address: 1328 LOMA LINDA COURT, SARASOTA, FL, 34239
Mail Address: 1328 LOMA LINDA COURT, SARASOTA, FL, 34239
ZIP code: 34239
County: Sarasota
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1447941026 2023-05-16 2023-05-16 1328 LOMA LINDA CT, SARASOTA, FL, 342392426, US 1505 TAMIAMI TRL S STE 401A, VENICE, FL, 342855562, US

Contacts

Phone +1 941-504-6980

Authorized person

Name KIMBERLY J MILLER
Role OWNER
Phone 9415046980

Taxonomy

Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes

Agent

Name Role Address
MILLER KIMBERLY J Agent 1328 LOMA LINDA COURT, SARASOTA, FL, 34239

President

Name Role Address
MILLER KIMBERLY J President 1328 LOMA LINDA COURT, SARASOTA, FL, 34239

Documents

Name Date
ANNUAL REPORT 2024-03-27
ANNUAL REPORT 2023-04-27
ANNUAL REPORT 2022-05-01
ANNUAL REPORT 2021-04-29
ANNUAL REPORT 2020-06-30
ANNUAL REPORT 2019-05-01
ANNUAL REPORT 2018-05-01
ANNUAL REPORT 2017-04-29
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-04-30

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
9015408606 2021-03-25 0455 PPP 1328 Loma Linda Ct 1328 Loma Linda Court, Sarasota, FL, 34239-2426
Loan Status Date 2022-08-03
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 4750
Loan Approval Amount (current) 4750
Undisbursed Amount 0
Franchise Name -
Lender Location ID 94636
Servicing Lender Name Achieva CU
Servicing Lender Address 1659 Virginia St, DUNEDIN, FL, 34698-7405
Rural or Urban Indicator U
Hubzone Y
LMI N
Business Age Description Existing or more than 2 years old
Project Address Sarasota, SARASOTA, FL, 34239-2426
Project Congressional District FL-17
Number of Employees 1
NAICS code 621330
Borrower Race White
Borrower Ethnicity Not Hispanic or Latino
Business Type Subchapter S Corporation
Originating Lender ID 94636
Originating Lender Name Achieva CU
Originating Lender Address DUNEDIN, FL
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 4812.94
Forgiveness Paid Date 2022-08-01

Date of last update: 02 Feb 2025

Sources: Florida Department of State