| 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 (7 months 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 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679317127 | 2024-06-20 | 2024-06-20 | 1618 MAHAN CENTER BLVD STE 103, TALLAHASSEE, FL, 323085476, US | 1618 MAHAN CENTER BLVD STE 103, TALLAHASSEE, FL, 323085476, US | |||||||||||||||
|
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| Phone | +1 850-999-2996 |
| Fax | 8334504861 |
Authorized person
| Name | JULIANNE KAY FOLSOM |
| Role | OWNER |
| Phone | 8509992996 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| FOLSOM JULIANNE | Agent | 1618 MAHAN CENTER BLVD, STE 103, TALLAHASSEE, FL, 32308 |
| Name | Role | Address |
|---|---|---|
| FOLSOM JULIANNE K | Manager | 1618 MAHAN CENTR BLVD, TALLAHASSEE, FL, 32308 |
| 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 | No data | 1618 MAHAN CENTER BLVD, SUITE 103, TALLAHASSEE, FL, 32308 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-09-11 | 3606 MACLAY BOULEVARD SOUTH, STE 102, TALLAHASSEE, FL 32312 | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-11 | 3606 MACLAY BOULEVARD SOUTH, STE 102, TALLAHASSEE, FL 32312 | No data |
| LC AMENDMENT | 2024-07-01 | No data | No data |
| LC AMENDMENT | 2024-05-08 | No data | No data |
| LC NAME CHANGE | 2024-03-07 | LIFESPAN PSYCHIATRIC SERVICES, LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-26 | 1618 MAHAN CENTER BLVD, STE 103, TALLAHASSEE, FL 32308 | No data |
| LC AMENDMENT | 2024-02-26 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2024-02-26 | FOLSOM, JULIANNE | No data |
| LC NAME CHANGE | 2024-01-25 | LIFESPAN PSYCHIATRIC & INTERNAL MEDICINE SERVICES, LLC | No data |
| AMENDMENT AND NAME CHANGE | 2023-01-23 | LIFESPAN PSYCHIATRIC SERVICES, L.L.C | No data |
| 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 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
