Search icon

ATUNWA PSYCHOLOGICAL AND COMMUNITY OUTREACH SERVICES, LLC

Company Details

Entity Name: ATUNWA PSYCHOLOGICAL AND COMMUNITY OUTREACH SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 16 Sep 2015 (9 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 12 Oct 2022 (2 years ago)
Document Number: L15000157406
FEI/EIN Number 47-5060902
Address: 1512 Blountstown Street, TALLAHASSEE, FL, 32304, US
Mail Address: PO BOX 15262, TALLHASSEE, FL, 32317
ZIP code: 32304
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1053918292 2020-10-01 2020-10-01 PO BOX 15262, TALLAHASSEE, FL, 323175262, US 1512 BLOUNTSTOWN ST, TALLAHASSEE, FL, 323041109, US

Contacts

Phone +1 850-299-4991
Fax 8503904095

Authorized person

Name JERMAINE ROBERTSON
Role LICENSED PSYCHOLOGIST
Phone 8502994991

Taxonomy

Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary Yes

Agent

Name Role Address
ROBERTSON JERMAINE Agent 1512 Blountstown Street, TALLAHASSEE, FL, 32304

Manager

Name Role Address
ROBERTSON JERMAINE Manager PO BOX 15262, TALLAHASSEE, FL, 32317

Events

Event Type Filed Date Value Description
REINSTATEMENT 2022-10-12 No data No data
CHANGE OF PRINCIPAL ADDRESS 2022-10-12 1512 Blountstown Street, TALLAHASSEE, FL 32304 No data
REGISTERED AGENT NAME CHANGED 2022-10-12 ROBERTSON, JERMAINE No data
REGISTERED AGENT ADDRESS CHANGED 2022-10-12 1512 Blountstown Street, TALLAHASSEE, FL 32304 No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2017-09-22 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-03-23
REINSTATEMENT 2022-10-12
ANNUAL REPORT 2016-05-01
Florida Limited Liability 2015-09-16

Date of last update: 02 Feb 2025

Sources: Florida Department of State