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 |
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 | |||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
Welliver Dillon G | Agent | 6050 shady lane, Tallahassee, FL, 32309 |
Name | Role | Address |
---|---|---|
WELLIVER DILLON | Authorized Member | 6050 shady lane, tallahassee, FL, 32309 |
WELLIVER ALLISON | Authorized Member | 6050 shady lane, Tallahassee, FL, 32309 |
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 |
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