| Entity Name: | TAMPA BAY CENTER FOR COGNITIVE BEHAVIOR THERAPY, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 28 Dec 2012 (12 years ago) |
| Last Event: | CONVERSION |
| Event Date Filed: | 28 Dec 2012 (12 years ago) |
| Document Number: | P13000000481 |
| FEI/EIN Number | 38-3893704 |
| Address: | 219 Cook St., BRANDON, FL, 33511, US |
| Mail Address: | P O BOX 14, BRANDON, FL, 33509, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659781615 | 2014-04-30 | 2014-04-30 | PO BOX 14, BRANDON, FL, 335090014, US | 509 WILBUR ST, BRANDON, FL, 335115323, US | |||||||||||||||||||||
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| Phone | +1 813-480-8482 |
| Fax | 8136514402 |
Authorized person
| Name | MS. NANCY S GORDON |
| Role | PRESIDENT |
| Phone | 8134808482 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS |
| Number | Z180V |
| State | FL |
| Name | Role | Address |
|---|---|---|
| GORDON NANCY S | Agent | 501 Dewolf Rd, BRANDON, FL, 33511 |
| Name | Role | Address |
|---|---|---|
| GORDON NANCY S | Director | P O BOX 14, BRANDON, FL, 33509 |
| O'NEIL CHARLES N | Director | P O BOX 14, BRANDON, FL, 33509 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-10-08 | 219 Cook St., BRANDON, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-02 | 501 Dewolf Rd, BRANDON, FL 33511 | No data |
| REGISTERED AGENT NAME CHANGED | 2014-02-12 | GORDON, NANCY S | No data |
| CONVERSION | 2012-12-28 | No data | CORPORATION WAS A CONVERSION RESULT. CONVERTING CORPORATION WAS L10000055883. CONVERSION NUMBER 300000128213 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-30 |
| ANNUAL REPORT | 2022-01-29 |
| ANNUAL REPORT | 2021-02-13 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-02 |
| ANNUAL REPORT | 2018-02-24 |
| ANNUAL REPORT | 2017-02-26 |
| ANNUAL REPORT | 2016-03-13 |
| ANNUAL REPORT | 2015-02-23 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
