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