| Entity Name: | BRIGHT PSYCHE PSYCHOLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Mar 2013 (12 years ago) |
| Document Number: | L13000037742 |
| FEI/EIN Number | 46-2876959 |
| Address: | 710 Oakfield Dr., Brandon, FL, 33511, US |
| Mail Address: | 710 Oakfield Dr., Brandon, FL, 33511, US |
| ZIP code: | 33511 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1235552787 | 2014-02-03 | 2021-12-10 | 710 OAKFIELD DR STE 223, BRANDON, FL, 335114954, US | 710 OAKFIELD DR STE 223, BRANDON, FL, 335114954, US | |||||||||||||||||||||||||||
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| Phone | +1 813-419-3137 |
| Fax | 8775994198 |
Authorized person
| Name | MAGDA M LOPEZ |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3054958347 |
Taxonomy
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | PY8347 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LOPEZ MAGDA M | Agent | 4018 Bell Grande Dr, Valrico, FL, 33596 |
| Name | Role | Address |
|---|---|---|
| Lopez Magda M | Managing Member | 4018 Bell Grande Dr, Valrico, FL, 33596 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-09-30 | 710 Oakfield Dr., 223, Brandon, FL 33511 | No data |
| CHANGE OF MAILING ADDRESS | 2021-09-30 | 710 Oakfield Dr., 223, Brandon, FL 33511 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-04-05 | 4018 Bell Grande Dr, Valrico, FL 33596 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-21 |
| ANNUAL REPORT | 2023-04-05 |
| ANNUAL REPORT | 2022-04-06 |
| AMENDED ANNUAL REPORT | 2021-09-30 |
| ANNUAL REPORT | 2021-04-05 |
| ANNUAL REPORT | 2020-06-02 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-04-04 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-11 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
