| Entity Name: | MY PSYCHOLOGY PLACE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Nov 2017 (7 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: | P17000093219 |
| FEI/EIN Number | 82-3473227 |
| Address: | 6601 MEMORIAL HIGHWAY, 310, TAMPA, FL, 33615, US |
| Mail Address: | 6601 MEMORIAL HIGHWAY, 310, TAMPA, FL, 33615, US |
| ZIP code: | 33615 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326553389 | 2017-12-12 | 2017-12-12 | 6601 MEMORIAL HWY STE 310, TAMPA, FL, 336154501, US | 6601 MEMORIAL HWY STE 310, TAMPA, FL, 336154501, US | |||||||||||||||||||||
|
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| Phone | +1 813-690-5551 |
Authorized person
| Name | ALESSANDRA MAROTTI |
| Role | PSYCHOLOGIST |
| Phone | 8138530721 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7772 |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007374100 |
| State | FL |
| Name | Role |
|---|---|
| ACCOUNTING SOLUTIONS FOR BUSINESS, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| MAROTTI ALESSANDRA | President | 6601 MEMORIAL HIGHWAY, #310, TAMPA, FL, 33615 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-05-01 |
| ANNUAL REPORT | 2018-03-28 |
| Domestic Profit | 2017-11-20 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
