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SOUTHERN PSYCHIATRY LLC - Florida Company Profile

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Company Details

Entity Name: SOUTHERN PSYCHIATRY LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 01 Feb 2019 (7 years ago)
Document Number: L19000028086
FEI/EIN Number 83-3067501
Address: 3906 US Highway 98, Santa Rosa Beach, FL, 32459, UN
Mail Address: 201 N BLUE HERON DR, SANTA ROSA BEACH, FL, 32459, UN
ZIP code: 32459
City: Santa Rosa Beach
County: Walton
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MCCORMACK JOSEPH IJR. Manager 201 N BLUE HERON DR, SANTA ROSA BEACH, FL, 32459
MCCORMACK RENEE R Agent 201 N BLUE HERON DR, SANTA ROSA BEACH, FL, 32459

National Provider Identifier

NPI Number:
1467917898
Certification Date:
2022-12-15

Authorized Person:

Name:
RENEE MCCORMACK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G19000072867 NOMADIC NURSE EXPIRED 2019-07-01 2024-12-31 - 3906 US 98 W #1522, SANTA ROSA BEACH, FL, 32459

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2021-03-19 3906 US Highway 98, #1522, Santa Rosa Beach, FL - FLORIDA 32459 UN -

Documents

Name Date
ANNUAL REPORT 2024-01-22
ANNUAL REPORT 2023-01-20
ANNUAL REPORT 2022-01-30
ANNUAL REPORT 2021-03-19
ANNUAL REPORT 2020-02-14
Florida Limited Liability 2019-02-01

USAspending Awards / Financial Assistance

Date:
2020-05-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10500.00
Total Face Value Of Loan:
10500.00

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$10,500
Date Approved:
2020-05-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$10,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$10,560.96
Servicing Lender:
United Community Bank
Use of Proceeds:
Payroll: $10,500

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Date of last update: 02 Aug 2025

Sources: Florida Department of State