| Entity Name: | M. TAVERAS, PSYD & COMPANY PSYCHOLOGICAL SERVICES LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 04 Mar 2024 (a year ago) |
| Document Number: | L24000108640 |
| Address: | 8267 MEADOW WALK LANE, JACKSONVILLE, FL 32256 |
| Mail Address: | 8267 MEADOW WALK LANE, JACKSONVILLE, FL 32256 |
| ZIP code: | 32256 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093574592 | 2024-03-18 | 2024-07-24 | 13241 BARTRAM PARK BLVD UNIT 805, JACKSONVILLE, FL, 322585216, US | 13741 BARTRAM PARK BLVD STE 805, JACKSONVILLE, FL, 322568074, US | |||||||||||||
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| Phone | +1 904-373-8427 |
Authorized person
| Name | MICHELLE CHRISTY TAVERAS |
| Role | OWNER/CLINICAL PSYCHOLOGIST |
| Phone | 3472512090 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| FLORIDA TAX MAN INC | Agent |
| Name | Role | Address |
|---|---|---|
| TAVERAS, MICHELLE | Manager | 8267 MEADOW WALK LANE, JACKSONVILLE, FL 32256 |
| Name | Date |
|---|---|
| Florida Limited Liability | 2024-03-04 |
Date of last update: 08 Feb 2025
Sources: Florida Department of State
