| Entity Name: | KRIS PARKER & ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 28 Jan 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P13000009200 |
| FEI/EIN Number | 46-1944497 |
| Address: | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 |
| Mail Address: | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 |
| ZIP code: | 34952 |
| County: | St. Lucie |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013325620 | 2014-07-27 | 2014-07-27 | 1950 SE PORT ST LUCIE BLVD, SUITE 205, PORT ST LUCIE, FL, 349525580, US | 1950 SE PORT ST LUCIE BLVD, SUITE 205, PORT ST LUCIE, FL, 349525580, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 772-224-2125 |
| Fax | 7722242290 |
Authorized person
| Name | KRISTINE D PARKER |
| Role | OWNER |
| Phone | 7722242125 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH11674 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009285000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| PARKER, KRISTINE | Agent | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 |
| Name | Role | Address |
|---|---|---|
| PARKER, KRISTINE | President | 1950 SE Port St. Lucie Blvd, Suite 205 Port St. Lucie, FL 34952 |
| Name | Role | Address |
|---|---|---|
| PARKER, KRISTINE | Vice President | 1950 SE Port St. Lucie Blvd, Suite 205 Port St. Lucie, FL 34952 |
| Name | Role | Address |
|---|---|---|
| PARKER, KRISTINE | Director | 1950 SE Port St. Lucie Blvd, Suite 205 Port St. Lucie, FL 34952 |
| Name | Role | Address |
|---|---|---|
| PARKER, KRISTINE | Secretary | 1950 SE Port St. Lucie Blvd, Suite 205 Port St. Lucie, FL 34952 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-15 | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 | No data |
| CHANGE OF MAILING ADDRESS | 2014-01-15 | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-15 | 1950 SE Port St. Lucie Blvd, Suite 205, Port St. Lucie, FL 34952 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-01-22 |
| ANNUAL REPORT | 2018-05-01 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-02-04 |
| ANNUAL REPORT | 2015-02-10 |
| ANNUAL REPORT | 2014-01-15 |
| Domestic Profit | 2013-01-28 |
Date of last update: 22 Feb 2025
Sources: Florida Department of State
