| Entity Name: | PSYCHOLOGICAL SERVICES FOR ASSESSMENT AND DIAGNOSIS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 19 Aug 2021 (3 years ago) |
| Date of dissolution: | 23 Sep 2022 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 23 Sep 2022 (2 years ago) |
| Document Number: | L21000373463 |
| Address: | 135 NORTH AVE W, BROOKSVILLE, FL, 34601, US |
| Mail Address: | 135 NORTH AVE W, BROOKSVILLE, FL, 34601, US |
| ZIP code: | 34601 |
| County: | Hernando |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669149050 | 2021-08-24 | 2021-08-24 | 135 NORTH AVE W, BROOKSVILLE, FL, 346011027, US | 135 NORTH AVE W, BROOKSVILLE, FL, 346011027, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 352-279-0997 |
Authorized person
| Name | DR. A ELISE CONROY KEGLEY |
| Role | PSYCHOLOGIST |
| Phone | 3522790997 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CONROY KEGLEY A ELISE | Agent | 135 NORTH AVE W, BROOKSVILLE, FL, 34601 |
| Name | Role | Address |
|---|---|---|
| CONROY KEGLEY A ELISE | Authorized Member | 135 NORTH AVE W, BROOKSVILLE, FL, 34601 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2022-09-23 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2021-08-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
