Entity Name: | BELTRAN PSYCHOLOGICAL SERVICES, L.L.C |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 21 Apr 2023 (2 years ago) |
Last Event: | LC AMENDMENT |
Event Date Filed: | 10 Oct 2023 (a year ago) |
Document Number: | L23000198818 |
FEI/EIN Number | 92-3691286 |
Mail Address: | 3214 HILLSDALE LN., KISSIMMEE, FL, 34741 |
Address: | 3214 HILLSDALE LN., KISSIMMEE 34741, FL, 34741 |
ZIP code: | 34741 |
County: | Osceola |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144906066 | 2023-06-26 | 2023-06-26 | 3214 HILLSDALE LANE, KISSIMMEE, FL, 347417562, US | 3214 HILLSDALE LANE, KISSIMMEE, FL, 347417562, US | |||||||||||||||||||||||
|
Phone | +1 407-518-9161 |
Fax | 4075189942 |
Authorized person
Name | MR. JOHN J BELTRAN |
Role | PSYCHOLOGIST |
Phone | 4075189161 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
Is Primary | No |
Taxonomy Code | 103TC0700X - Clinical Psychologist |
Is Primary | Yes |
Taxonomy Code | 1041C0700X - Clinical Social Worker |
Is Primary | No |
Name | Role | Address |
---|---|---|
BELTRAN ANGELA M | Agent | 3214 HILLSDALE LANE, KISSIMMEE, FL, 34741 |
Name | Role | Address |
---|---|---|
BELTRAN JOHN J | Manager | 3214 HILLSDALE LN., KISSIMMEE 34741, FL, 34741 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
LC AMENDMENT | 2023-10-10 | No data | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-03-06 |
LC Amendment | 2023-10-10 |
Florida Limited Liability | 2023-04-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State