| Entity Name: | BAY AREA PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 07 Jun 2021 (4 years ago) |
| Document Number: | L21000262741 |
| FEI/EIN Number | 87-1066345 |
| Address: | 11220 Oakhurst Rd., LARGO, FL 33774 |
| Mail Address: | 11220 Oakhurst Rd, LARGO, ND 33774 |
| ZIP code: | 33774 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1457924094 | 2021-07-21 | 2021-07-21 | 13104 CIMARRON CIR N, LARGO, FL, 337744114, US | 13104 CIMARRON CIR N, LARGO, FL, 337744114, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 727-835-8131 |
Authorized person
| Name | CARITA R SHAWCHUCK |
| Role | PRESIDENT |
| Phone | 7278358131 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHAWCHUCK, CARITA R, PH. D. | Agent | 11220 Oakhurst Rd, LARGO, FL 33774 |
| Name | Role | Address |
|---|---|---|
| SHAWCHUCK, CARITA R, PH.D. | President | 13104 CIMARRON CIRCLE N., LARGO, FL 33774 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2024-02-28 | 11220 Oakhurst Rd., LARGO, FL 33774 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-28 | 11220 Oakhurst Rd, LARGO, FL 33774 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-28 | 11220 Oakhurst Rd., LARGO, FL 33774 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-28 |
| ANNUAL REPORT | 2023-01-28 |
| ANNUAL REPORT | 2022-03-30 |
| Florida Limited Liability | 2021-06-07 |
Date of last update: 13 Feb 2025
Sources: Florida Department of State
