| Entity Name: | DRAGONFLY PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 05 May 2022 (3 years ago) |
| Document Number: | L22000213838 |
| FEI/EIN Number | 88-2404889 |
| Address: | 920 Windley Drive, St. Augustine, FL 32092 UN |
| Mail Address: | 920 Windley Drive, St. Augustine, FL 32092 UN |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376394288 | 2024-03-28 | 2024-03-28 | 920 WINDLEY DR, ST AUGUSTINE, FL, 320920124, US | 920 WINDLEY DR, ST AUGUSTINE, FL, 320920124, US | |||||||||||||
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| Phone | +1 805-796-1797 |
Authorized person
| Name | DEBORAH WIEDLUND-CALAM |
| Role | OWNER |
| Phone | 8057961797 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WIEDLUND-CALAM, DEBORAH L | Agent | 920 Windley Drive, St. Augustine, FL 32092 |
| Name | Role | Address |
|---|---|---|
| CALAM, MICHAEL R | Manager | 920 Windley Drive, St. Augustine, FL 32092 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-21 | 920 Windley Drive, St. Augustine, FL 32092 UN | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-21 | 920 Windley Drive, St. Augustine, FL 32092 UN | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-01-21 | 920 Windley Drive, St. Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-01 |
| ANNUAL REPORT | 2024-01-22 |
| ANNUAL REPORT | 2023-01-21 |
| Florida Limited Liability | 2022-05-05 |
Date of last update: 12 Feb 2025
Sources: Florida Department of State
