| Entity Name: | HEALTH PSYCH SOLUTIONS INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 05 Nov 2014 (10 years ago) |
| Date of dissolution: | 28 Sep 2018 (6 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 28 Sep 2018 (6 years ago) |
| Document Number: | P14000090486 |
| FEI/EIN Number | 47-2247477 |
| Address: | 13575 58TH STREET NORTH, SUITE 105, CLEARWATER, FL, 33760, US |
| Mail Address: | 13575 58TH STREET NORTH, SUITE 105, CLEARWATER, FL, 33760, US |
| ZIP code: | 33760 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790181725 | 2014-11-19 | 2014-11-19 | 13575 58TH ST N, SUITE 105, CLEARWATER, FL, 337603740, US | 13575 58TH ST N, SUITE 105, CLEARWATER, FL, 337603740, US | |||||||||||||||||||||||||
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| Phone | +1 727-244-1379 |
Authorized person
| Name | STEPHANY WEAVER |
| Role | PRESIDENT |
| Phone | 7272441379 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6244 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW8645 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Donati-Waddell Donna L | Agent | 13575 58TH STREET NORTH, CLEARWATER, FL, 33760 |
| Name | Role | Address |
|---|---|---|
| DONATI-WADDELL DONNA | President | 1605 RIDGE TOP DRIVE, TARPON SPRINGS, FL, 34688 |
| Name | Role | Address |
|---|---|---|
| EMANOILIDIS GEORGE | Vice President | 100 FIJI COURT NE, LAKE PLACID, FL, 33852 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2015-04-23 | Donati-Waddell, Donna Lynn | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2017-04-28 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-23 |
| Reg. Agent Resignation | 2015-01-15 |
| Off/Dir Resignation | 2015-01-15 |
| Domestic Profit | 2014-11-05 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
