| Entity Name: | COURTNEY J CANTRELL, PSY. D PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 29 Jun 2016 (9 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 05 Jul 2016 (9 years ago) |
| Document Number: | P16000054679 |
| FEI/EIN Number | 81-3075431 |
| Address: | 1650 NE 26TH STREET, 201, WILTON MANORS, FL 33005 |
| Mail Address: | 1650 NE 26TH STREET, SUITE 201, WILTON MANORS, FL 33005 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508382755 | 2017-08-18 | 2019-06-11 | 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 333051431, US | 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 333051431, US | |||||||||||||||
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| Phone | +1 954-947-8580 |
| Fax | 9549478582 |
Authorized person
| Name | DR. COURTNEY CANTRELL |
| Role | OWNER |
| Phone | 9549478580 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CANTRELL, COURTNEY | Agent | 1650 NE 26TH STREET, 201, WILTON MANORS, FL 33005 |
| Name | Role | Address |
|---|---|---|
| CANTRELL, COURTNEY J | President | 1650 NE 26TH STREET, 201 WILTON MANORS, FL 33005 |
| Name | Role | Address |
|---|---|---|
| CANTRELL, COURTNEY J | Director | 1650 NE 26TH STREET, 201 WILTON MANORS, FL 33005 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2019-01-31 | 1650 NE 26TH STREET, 201, WILTON MANORS, FL 33005 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-01-31 | CANTRELL, COURTNEY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2019-01-31 | 1650 NE 26TH STREET, 201, WILTON MANORS, FL 33005 | No data |
| CHANGE OF MAILING ADDRESS | 2017-10-05 | 1650 NE 26TH STREET, 201, WILTON MANORS, FL 33005 | No data |
| AMENDMENT | 2016-07-05 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-23 |
| ANNUAL REPORT | 2024-01-28 |
| ANNUAL REPORT | 2023-01-29 |
| ANNUAL REPORT | 2022-01-13 |
| ANNUAL REPORT | 2021-01-31 |
| ANNUAL REPORT | 2020-01-17 |
| ANNUAL REPORT | 2019-01-31 |
| ANNUAL REPORT | 2018-02-04 |
| ANNUAL REPORT | 2017-01-09 |
| Amendment | 2016-07-05 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6272517300 | 2020-04-30 | 0455 | PPP | 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 33305-1431 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Feb 2025
Sources: Florida Department of State
