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TOTALLY PSYCHED, LLC

Company Details

Entity Name: TOTALLY PSYCHED, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 11 Jul 2022 (3 years ago)
Document Number: L22000306478
FEI/EIN Number 88-3208165
Address: 15161 NEWTONIA STREET, WINTER GARDEN, FL 34787
Mail Address: 15161 NEWTONIA STREET, WINTER GARDEN, FL 34787
ZIP code: 34787
County: Orange
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396479697 2022-07-12 2022-08-29 15161 NEWTONIA ST, WINTER GARDEN, FL, 347875647, US 13350 W COLONIAL DR STE 340, WINTER GARDEN, FL, 347873977, US

Contacts

Phone +1 817-689-3369
Phone +1 689-240-7945

Authorized person

Name MR. KRISTOPHER STEWART OLDHAM
Role OWNER
Phone 8176893369

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Agent

Name Role Address
Oldham, Kristopher S Agent 15161 NEWTONIA STREET, WINTER GARDEN, FL 34787

Manager

Name Role Address
Oldham, Kristopher Manager 15161 NEWTONIA STREET, WINTER GARDEN, FL 34787

Events

Event Type Filed Date Value Description
REGISTERED AGENT NAME CHANGED 2024-02-25 Oldham, Kristopher S No data

Documents

Name Date
AMENDED ANNUAL REPORT 2024-06-28
ANNUAL REPORT 2024-02-25
AMENDED ANNUAL REPORT 2023-07-10
ANNUAL REPORT 2023-04-04
Florida Limited Liability 2022-07-11

Date of last update: 11 Feb 2025

Sources: Florida Department of State