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BLUE SKY THERAPEUTIC SERVICES LLC

Company Details

Entity Name: BLUE SKY THERAPEUTIC SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 24 Jul 2018 (7 years ago)
Document Number: L18000177906
FEI/EIN Number 83-2509937
Address: 6050 shady lane, tallahassee, FL, 32309, US
Mail Address: 6050 shady lane, Tallahassee, FL, 32309, US
ZIP code: 32309
County: Leon
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1376178756 2020-03-06 2020-03-06 6050 SHADY LN, TALLAHASSEE, FL, 323098960, US 6050 SHADY LN, TALLAHASSEE, FL, 323098960, US

Contacts

Phone +1 850-320-2071

Authorized person

Name DILLON GARRETT WELLIVER
Role OWNER/PRIVATE PRACTICE
Phone 8503202071

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary Yes

Agent

Name Role Address
Welliver Dillon G Agent 6050 shady lane, Tallahassee, FL, 32309

Authorized Member

Name Role Address
WELLIVER DILLON Authorized Member 6050 shady lane, tallahassee, FL, 32309
WELLIVER ALLISON Authorized Member 6050 shady lane, Tallahassee, FL, 32309

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2020-06-02 Welliver, Dillon Garrett No data
REGISTERED AGENT ADDRESS CHANGED 2020-06-02 6050 shady lane, Tallahassee, FL 32309 No data
CHANGE OF MAILING ADDRESS 2020-03-17 6050 shady lane, tallahassee, FL 32309 No data
CHANGE OF PRINCIPAL ADDRESS 2020-01-09 6050 shady lane, tallahassee, FL 32309 No data

Documents

Name Date
ANNUAL REPORT 2024-03-05
ANNUAL REPORT 2023-02-17
ANNUAL REPORT 2022-04-06
ANNUAL REPORT 2021-03-17
AMENDED ANNUAL REPORT 2020-06-02
ANNUAL REPORT 2020-03-17
ANNUAL REPORT 2019-03-04
Florida Limited Liability 2018-07-24

Date of last update: 02 Feb 2025

Sources: Florida Department of State