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PSYCHOLOGICAL AND FAMILY CONSULTANTS, INC.

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
MADSEN JR., CHARLES H Agent 811 ABBIEGAIL DR, TALLAHASSEE, FL, 32303

President

Name Role Address
MADSEN, CHARLES H JR DR President 811 ABBIEGAIL DR, TALLAHASSEE, FL, 32303

Vice President

Name Role Address
MADSEN DIANE Vice President 811 ABBIEGAIL DR, TALLAHASSEE, FL

Treasurer

Name Role Address
MORSE RAQUELLE Treasurer 9370 SETTLER AVE, TALLAHASSEE, FL, 32309

Events

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