| Entity Name: | K2 PSYCHOLOGICAL SERVICES, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 16 Dec 2021 (3 years ago) |
| Document Number: | L21000529906 |
| FEI/EIN Number | 87-4016661 |
| Address: | 541 S ORLANDO AVE, SUITE 100, MAITLAND, FL 32751 |
| Mail Address: | 541 S ORLANDO AVE, SUITE 100, MAITLAND, FL 32751 |
| ZIP code: | 32751 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497415665 | 2021-12-29 | 2021-12-29 | 541 S ORLANDO AVE STE 100, MAITLAND, FL, 327515669, US | 541 S ORLANDO AVE STE 306, MAITLAND, FL, 327515669, US | |||||||||||||
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| Phone | +1 407-810-2790 |
Authorized person
| Name | MATTHEW BUBALO |
| Role | MGR |
| Phone | 4078102790 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BUBALO, MATTHEW | Agent | 2901 AUTUMNWOOD TRL, N/A, APOPKA, FL 32703 |
| Name | Role | Address |
|---|---|---|
| BUBALO, MATTHEW | Manager | 2901 AUTUMNWOOD TRL, APOPKA, FL 32703 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-09 | 541 S ORLANDO AVE, SUITE 100, MAITLAND, FL 32751 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-09 | 541 S ORLANDO AVE, SUITE 100, MAITLAND, FL 32751 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-03-24 |
| Florida Limited Liability | 2021-12-16 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
