| Entity Name: | TRISH FRENCH, MSW, CAP, LCSW, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 26 Jan 2017 (8 years ago) |
| Date of dissolution: | 14 Mar 2023 (2 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 14 Mar 2023 (2 years ago) |
| Document Number: | P17000009372 |
| FEI/EIN Number | 815205645 |
| Address: | 25400 U.S. Hwy 19 N, CLEARWATER, FL, 33763, US |
| Mail Address: | 117 N Betty Lane, CLEARWATER, FL, 33755, US |
| ZIP code: | 33763 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225684954 | 2019-08-19 | 2019-08-19 | 117 N BETTY LN, CLEARWATER, FL, 337554961, US | 51 S MAIN AVE STE 304, CLEARWATER, FL, 337653937, US | |||||||||||||||||||
|
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| Phone | +1 727-784-8244 |
Authorized person
| Name | TRISH FRENCH |
| Role | CEO/PRESIDENT |
| Phone | 7279005522 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 011136300 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Fitzpatrick Wanda | Agent | 7818 Bullara Dr, Temple Terrace, FL, 33637 |
| Name | Role | Address |
|---|---|---|
| FRENCH TRISH | President | 117 N Betty Lane, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| FRENCH TRISH | Vice President | 117 N Betty Lane, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| FRENCH TRISH | Secretary | 117 N Betty Lane, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| FRENCH TRISH | Treasurer | 117 N Betty Lane, CLEARWATER, FL, 33755 |
| Name | Role | Address |
|---|---|---|
| FRENCH TRISH | Director | 117 N Betty Lane, CLEARWATER, FL, 33755 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-14 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-29 | 25400 U.S. Hwy 19 N, CLEARWATER, FL 33763 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-29 | 7818 Bullara Dr, Temple Terrace, FL 33637 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-12 | 25400 U.S. Hwy 19 N, CLEARWATER, FL 33763 | No data |
| REGISTERED AGENT NAME CHANGED | 2019-04-30 | Fitzpatrick, Wanda | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2023-03-14 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-29 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-04-26 |
| Domestic Profit | 2017-01-26 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
