Entity Name: | PSYCHOLOGICAL AND FAMILY CONSULTANTS, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 11 Mar 1969 (56 years ago) |
Document Number: | 342837 |
FEI/EIN Number | 591263156 |
Address: | 1254 OCALA ROAD, TALLAHASSEE, FL, 32304 |
Mail Address: | 9370 Settler Ave, TALLAHASSEE, FL, 32309, US |
ZIP code: | 32304 |
County: | Leon |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851448633 | 2007-01-04 | 2012-08-20 | 1254 OCALA RD, TALLAHASSEE, FL, 323041548, US | 1254 OCALA RD, TALLAHASSEE, FL, 323041548, US | |||||||||||||||||||
|
Phone | +1 850-575-8954 |
Fax | 8505759445 |
Authorized person
Name | DR. CHARLES H MADSEN |
Role | PSYCHOLOGIST PRESIDENT OF CORP. |
Phone | 8505758954 |
Taxonomy
Taxonomy Code | 103T00000X - Psychologist |
License Number | PY 2886 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
MADSEN JR., CHARLES H | Agent | 811 ABBIEGAIL DR, TALLAHASSEE, FL, 32303 |
Name | Role | Address |
---|---|---|
MADSEN, CHARLES H JR DR | President | 811 ABBIEGAIL DR, TALLAHASSEE, FL, 32303 |
Name | Role | Address |
---|---|---|
MADSEN DIANE | Vice President | 811 ABBIEGAIL DR, TALLAHASSEE, FL |
Name | Role | Address |
---|---|---|
MORSE RAQUELLE | Treasurer | 9370 SETTLER AVE, TALLAHASSEE, FL, 32309 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
PENDING REINSTATEMENT | 2013-07-12 | No data | No data |
REINSTATEMENT | 2013-07-12 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2010-09-24 | No data | No data |
CANCEL ADM DISS/REV | 2008-10-24 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2008-09-26 | No data | No data |
REINSTATEMENT | 1995-09-22 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 1995-08-25 | No data | No data |
NAME CHANGE AMENDMENT | 1978-08-10 | PSYCHOLOGICAL AND FAMILY CONSULTANTS, INC. | No data |
Date of last update: 02 Jan 2025
Sources: Florida Department of State