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ANGIE SPELLER, LMHC, PA

Company Details

Entity Name: ANGIE SPELLER, LMHC, PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 10 Oct 2013 (11 years ago)
Document Number: P13000083684
FEI/EIN Number 46-3881823
Address: 2005 Pan Am Circle, Suite 120, Tampa, FL, 33607, US
Mail Address: 2005 Pan Am Circle, Suite 120, Tampa, FL, 33607, US
ZIP code: 33607
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1710362397 2015-07-24 2015-07-24 4613 W NORTH A ST, TAMPA, FL, 336091909, US 4613 W NORTH A ST, TAMPA, FL, 336091909, US

Contacts

Phone +1 727-386-6495

Authorized person

Name ANGIE SPELLER
Role OWNER
Phone 7273866495

Taxonomy

Taxonomy Code 101YM0800X - Mental Health Counselor
State FL
Is Primary Yes
Taxonomy Code 106H00000X - Marriage & Family Therapist
State NY
Is Primary No

Agent

Name Role Address
Harte & Company Accounting and Tax Service Agent 9424 Balm Riverview Rd, Riverview, FL, 33569

President

Name Role Address
SPELLER ANGIE President 2005 Pan Am Circle, Tampa, FL, 33607

Vice President

Name Role Address
SPELLER CHASE Vice President 2005 Pan Am Circle, Tampa, FL, 33607

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000002879 ENSO BEHAVIORAL HEALTHCARE ACTIVE 2021-01-06 2026-12-31 No data 2005 PAN AM CIRCLE, SUITE 120, TAMPA, FL, 33607
G17000129680 DAY ONE GROUP EXPIRED 2017-11-28 2022-12-31 No data 4613 W NORTH A STREET, TAMPA, FL, 33609
G17000127928 ENSO CLINICAL CONSULTING ACTIVE 2017-11-21 2027-12-31 No data 2005 PAN AM CIRCLE DRIVE, SUITE 120, TAMPA, FL, 33607
G13000102251 ENSO BEHAVIORAL HEALTH CARE EXPIRED 2013-10-16 2018-12-31 No data 1200 COUNTRY TRAILS DR, SAFETY HARBOR, FL, 34695

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-29 2005 Pan Am Circle, Suite 120, Tampa, FL 33607 No data
CHANGE OF MAILING ADDRESS 2021-03-29 2005 Pan Am Circle, Suite 120, Tampa, FL 33607 No data
REGISTERED AGENT NAME CHANGED 2015-01-15 Harte & Company Accounting and Tax Services, Inc. No data
REGISTERED AGENT ADDRESS CHANGED 2015-01-15 9424 Balm Riverview Rd, Riverview, FL 33569 No data

Documents

Name Date
ANNUAL REPORT 2024-03-07
ANNUAL REPORT 2023-01-24
ANNUAL REPORT 2022-03-17
ANNUAL REPORT 2021-03-29
ANNUAL REPORT 2020-03-26
ANNUAL REPORT 2019-04-25
ANNUAL REPORT 2018-01-16
ANNUAL REPORT 2017-02-15
ANNUAL REPORT 2016-04-27
ANNUAL REPORT 2015-01-15

Date of last update: 01 Feb 2025

Sources: Florida Department of State