| Entity Name: | LADONNA DAHL, PSY.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 10 Jan 2013 (12 years ago) |
| Date of dissolution: | 22 Sep 2017 (7 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2017 (7 years ago) |
| Document Number: | P13000003760 |
| FEI/EIN Number | 352465603 |
| Address: | 4110 SOUTHPOINT BLVD., SUITE 114, JACKSONVILLE, FL, 32216, US |
| Mail Address: | 4110 SOUTHPOINT BLVD., SUITE 114, JACKSONVILLE, FL, 32216, US |
| ZIP code: | 32216 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225408040 | 2015-10-06 | 2015-10-06 | 4110 SOUTHPOINT BLVD, STE 114, JACKSONVILLE, FL, 322160947, US | 4110 SOUTHPOINT BLVD, STE 114, JACKSONVILLE, FL, 322160947, US | |||||||||||||||||||
|
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| Phone | +1 786-512-9983 |
| Fax | 8885576165 |
Authorized person
| Name | DR. LADONNA DAHL |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 7865129983 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY8020 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAHL LADONNA PSY.D. | Agent | 4110 Southpoint Boulevard, Jacksonville, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| DAHL LADONNA PSY.D. | President | 4110 SOUTHPOINT BLVD., JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2017-09-22 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-23 | 4110 Southpoint Boulevard, 114, Jacksonville, FL 32216 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2013-11-20 | 4110 SOUTHPOINT BLVD., SUITE 114, JACKSONVILLE, FL 32216 | No data |
| CHANGE OF MAILING ADDRESS | 2013-03-19 | 4110 SOUTHPOINT BLVD., SUITE 114, JACKSONVILLE, FL 32216 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J17000298473 | ACTIVE | 1000000743942 | DUVAL | 2017-05-22 | 2027-05-24 | $ 754.36 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, JACKSONVILLE SERVICE CENTER, 921 N DAVIS ST STE 250A, JACKSONVILLE FL322096825 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2016-04-26 |
| ANNUAL REPORT | 2015-04-24 |
| ANNUAL REPORT | 2014-04-23 |
| Domestic Profit | 2013-01-10 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
