| Entity Name: | TRICOUNTY TELE BEHAVIORAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Sep 2016 (8 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 03 Mar 2022 (3 years ago) |
| Document Number: | L16000174675 |
| FEI/EIN Number | 81-3889324 |
| Address: | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Mail Address: | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326590449 | 2016-10-25 | 2016-10-25 | 101 E MILLER ST, ORLANDO, FL, 328062123, US | 501 N ORLANDO AVE, SUITE 313-185, WINTER PARK, FL, 327897313, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 407-803-4016 |
| Fax | 4078034045 |
Authorized person
| Name | SOFIA QADIR |
| Role | PRESIDENT |
| Phone | 4078034016 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | ME62388 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC. | Agent |
| Name | Role | Address |
|---|---|---|
| Martin, Ann | Chief Financial Officer | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David G. | President and Secretary | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David G. | Treasurer | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Name | Role | Address |
|---|---|---|
| Weiss, David G. | CEO) | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-28 | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 | No data |
| CHANGE OF MAILING ADDRESS | 2022-04-28 | 5314 Maryland Way, Suite 110, Brentwood, TN 37027 | No data |
| LC STMNT OF RA/RO CHG | 2022-03-03 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2022-03-03 | COGENCY GLOBAL INC. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-03 | 115 NORTH CALHOUN ST - STE. 4, TALLAHASSEE, FL 32301 | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J24000253292 | ACTIVE | 1000000987123 | ORANGE | 2024-04-04 | 2034-05-01 | $ 428.97 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, ORLANDO SERVICE CENTER, 400 W ROBINSON ST STE N302, ORLANDO FL328011759 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-18 |
| ANNUAL REPORT | 2023-04-11 |
| ANNUAL REPORT | 2022-04-28 |
| CORLCRACHG | 2022-03-03 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-12 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-01 |
| ANNUAL REPORT | 2017-04-16 |
| Florida Limited Liability | 2016-09-19 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
