Entity Name: | GET PSYCHED BEHAVIORAL HEALTH SERVICES LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 24 Apr 2017 (8 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 05 May 2020 (5 years ago) |
Document Number: | L17000089889 |
FEI/EIN Number | 81-4778811 |
Address: | 8875 Hidden River Parkway, Tampa, FL, 33637, US |
Mail Address: | 8875 Hidden River Parkway, Tampa, FL, 33637, US |
ZIP code: | 33637 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1124556840 | 2017-05-24 | 2018-06-16 | 15210 AMBERLY DRIVE, #625, TAMPA, FL, 33647, US | 4929 VAN DYKE RD, LUTZ, FL, 335584813, US | |||||||||||||||||||||||
|
Phone | +1 813-360-3569 |
Authorized person
Name | MS. JACQUELINE ANNE GIBB |
Role | PRESIDENT |
Phone | 8133603569 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | 12739 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | REGISTERED MENTAL HEALTH INTERN |
Number | 12739 |
State | FL |
Name | Role | Address |
---|---|---|
GIBB JACQUELINE A | Agent | 8875 Hidden River Parkway, Tampa, FL, 33637 |
Name | Role | Address |
---|---|---|
GIBB JACQUELINE A | President | 8875 Hidden River Parkway, Tampa, FL, 33637 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2022-01-23 | 8875 Hidden River Parkway, Suite #300, Tampa, FL 33637 | No data |
CHANGE OF MAILING ADDRESS | 2022-01-23 | 8875 Hidden River Parkway, Suite #300, Tampa, FL 33637 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-01-23 | 8875 Hidden River Parkway, Suite #300, Tampa, FL 33637 | No data |
REINSTATEMENT | 2020-05-05 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2020-05-05 | GIBB, JACQUELINE A | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-11 |
ANNUAL REPORT | 2023-04-23 |
ANNUAL REPORT | 2022-01-23 |
ANNUAL REPORT | 2021-04-23 |
REINSTATEMENT | 2020-05-05 |
ANNUAL REPORT | 2018-04-22 |
Florida Limited Liability | 2017-04-24 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State