Search icon

T&J PSYCHOLOGICAL SERVICES LLC

Company Details

Entity Name: T&J PSYCHOLOGICAL SERVICES LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 25 Oct 2021 (3 years ago)
Document Number: L21000463410
FEI/EIN Number 87-3539729
Address: 809 E OAK ST, 105, KISSIMMEE, FL 34744
Mail Address: 809 E OAK ST, 105, KISSIMMEE, FL 34744
ZIP code: 34744
County: Osceola
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1891454294 2021-12-13 2024-05-25 809 E OAK ST STE 105, KISSIMMEE, FL, 347445834, US 809 E OAK ST, STE 106, KISSIMMEE, FL, 347445834, US

Contacts

Phone +1 689-677-2479

Authorized person

Name DR. TAMARA MARTINEZ-MORALES
Role CLINICAL PSYCHOLOGIST/OWNER
Phone 6896772479

Taxonomy

Taxonomy Code 103TA0700X - Adult Development & Aging Psychologist
Is Primary No
Taxonomy Code 103TB0200X - Cognitive & Behavioral Psychologist
Is Primary No
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary Yes
Taxonomy Code 103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary No
Taxonomy Code 103TM1800X - Intellectual & Developmental Disabilities Psychologist
Is Primary No
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No

Agent

Name Role Address
Droege, Jake Agent 419 Tennessee Ave, St. Cloud, FL 34769

Manager

Name Role Address
MARTINEZ-MORALES, TAMARA Manager 809 E OAK ST STE 105, KISSIMMEE, FL 34744
DROEGE, JAKE Manager 809 E OAK ST STE 105, KISSIMMEE, FL 34744

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G21000154538 T&J PSYCHOLOGICAL SERVICES LLC ACTIVE 2021-11-18 2026-12-31 No data 809 E OAK ST, STE 106, KISSIMMEE, FL, 34744

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2022-04-29 809 E OAK ST, 105, KISSIMMEE, FL 34744 No data
CHANGE OF MAILING ADDRESS 2022-04-29 809 E OAK ST, 105, KISSIMMEE, FL 34744 No data
REGISTERED AGENT NAME CHANGED 2022-04-29 Droege, Jake No data
REGISTERED AGENT ADDRESS CHANGED 2022-04-29 419 Tennessee Ave, St. Cloud, FL 34769 No data

Documents

Name Date
ANNUAL REPORT 2024-04-28
ANNUAL REPORT 2023-04-18
ANNUAL REPORT 2022-04-29
Florida Limited Liability 2021-10-25

Date of last update: 12 Feb 2025

Sources: Florida Department of State