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LIFESPAN PSYCHIATRIC SERVICES, LLC - Florida Company Profile

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Company Details

Entity Name: LIFESPAN PSYCHIATRIC SERVICES, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 18 Jun 2021 (4 years ago)
Last Event: LC AMENDMENT
Event Date Filed: 01 Jul 2024 (a year ago)
Document Number: L21000284136
FEI/EIN Number 87-1273465
Address: 3606 MACLAY BOULEVARD SOUTH, TALLAHASSEE, FL, 32312, US
Mail Address: 3606 MACLAY BOULEVARD SOUTH, TALLAHASSEE, FL, 32312, US
ZIP code: 32312
City: Tallahassee
County: Leon
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
FOLSOM MARVIN Manager 3606 MACLAY BLVD STE 102, TALLAHASSEE, FL, 32312
FOLSOM JULIANNE K Manager 1618 MAHAN CENTR BLVD, TALLAHASSEE, FL, 32308
FOLSOM JULIANNE Agent 1618 MAHAN CENTER BLVD, STE 103, TALLAHASSEE, FL, 32308

National Provider Identifier

NPI Number:
1679317127
Certification Date:
2024-06-20

Authorized Person:

Name:
JULIANNE KAY FOLSOM
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8334504861

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000071973 LIFESPAN PSYCHIATRIC AND INTERNAL MEDICINE SERVICES ACTIVE 2024-06-10 2029-12-31 - 1618 MAHAN CENTER BLVD, SUITE 103, TALLAHASSEE, FL, 32308

Events

Event Type Filed Date Value Description
LC AMENDMENT 2025-06-06 - -
CHANGE OF PRINCIPAL ADDRESS 2024-09-11 3606 MACLAY BOULEVARD SOUTH, STE 102, TALLAHASSEE, FL 32312 -
CHANGE OF MAILING ADDRESS 2024-09-11 3606 MACLAY BOULEVARD SOUTH, STE 102, TALLAHASSEE, FL 32312 -
LC AMENDMENT 2024-07-01 - -
LC AMENDMENT 2024-05-08 - -
LC NAME CHANGE 2024-03-07 LIFESPAN PSYCHIATRIC SERVICES, LLC -
REGISTERED AGENT NAME CHANGED 2024-02-26 FOLSOM, JULIANNE -
REGISTERED AGENT ADDRESS CHANGED 2024-02-26 1618 MAHAN CENTER BLVD, STE 103, TALLAHASSEE, FL 32308 -
LC AMENDMENT 2024-02-26 - -
LC NAME CHANGE 2024-01-25 LIFESPAN PSYCHIATRIC & INTERNAL MEDICINE SERVICES, LLC -

Documents

Name Date
LC Amendment 2024-07-01
LC Amendment 2024-05-08
LC Name Change 2024-03-07
LC Amendment 2024-02-26
AMENDED ANNUAL REPORT 2024-02-01
LC Name Change 2024-01-25
ANNUAL REPORT 2024-01-23
AMENDED ANNUAL REPORT 2023-10-03
ANNUAL REPORT 2023-02-06
Amendment and Name Change 2023-01-23

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Date of last update: 02 Aug 2025

Sources: Florida Department of State