| Entity Name: | BAYSIDE PSYCHOLOGY SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 03 Aug 2011 (14 years ago) |
| Date of dissolution: | 09 Jan 2013 (12 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 09 Jan 2013 (12 years ago) |
| Document Number: | L11000089235 |
| FEI/EIN Number | 45-2918156 |
| Address: | 4400 HWY 20 EAST SUITE 305, NICEVILLE, FL 32578 |
| Mail Address: | 4400 HWY 20 EAST SUITE 305, NICEVILLE, FL 32578 |
| ZIP code: | 32578 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922388909 | 2011-08-23 | 2011-08-23 | 4400 E HIGHWAY 20, STE 305, NICEVILLE, FL, 325788779, US | 4400 E HIGHWAY 20, STE 305, NICEVILLE, FL, 325788779, US | |||||||||||||||||||
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| Phone | +1 850-279-6750 |
| Fax | 8502796752 |
Authorized person
| Name | DR. GRETCHEN CHAPMAN TYLER |
| Role | LICENSED PSYCHOLOGIST / PRESIDENT |
| Phone | 8502796750 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | 5264 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| BUSINESS FILINGS INCORPORATED | Agent |
| Name | Role | Address |
|---|---|---|
| TYLER G, RETCHEN C PHD | Managing Member | 642 CARIBBEAN WAY, NICEVILLE, FL 32578 |
| ODHAM, STEPHEN | Managing Member | 642 CARIBBEAN WAY, NICEVILLE, FL 32578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2013-01-09 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2011-11-14 | 515 E. PARK AVENUE, TALLAHASSEE, FL 32301 | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2013-01-09 |
| ANNUAL REPORT | 2012-01-30 |
| Florida Limited Liability | 2011-08-03 |
Date of last update: 23 Feb 2025
Sources: Florida Department of State
