| Entity Name: | KALY PSYCHOLOGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 06 Nov 2003 (21 years ago) |
| Document Number: | P03000130867 |
| FEI/EIN Number | 371479369 |
| Address: | 3963 CAPITOL DRIVE, PALM HARBOR, FL, 34685, US |
| Mail Address: | 3963 CAPITOL DRIVE, PALM HARBOR, FL, 34685, US |
| ZIP code: | 34685 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1114023132 | 2006-09-16 | 2024-08-15 | 10910 SHELDON ROAD, TAMPA, FL, 33626, US | 10910 SHELDON ROAD, TAMPA, FL, 33626, US | |||||||||||||||||||
|
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| Phone | +1 813-796-8209 |
| Fax | 8138911311 |
Authorized person
| Name | DR. PERRY WILLIAM KALY |
| Role | PRESIDENT |
| Phone | 8134860398 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6377 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JIMENEZ JAMES A | Agent | 1032 W. SLIGH AVE., TAMPA, FL, 33604 |
| Name | Role | Address |
|---|---|---|
| KALY PERRY W | Director | 3963 CAPITOL DRIVE, PALM HARBOR, FL, 34685 |
| Name | Role | Address |
|---|---|---|
| KALY TRACEY C | Manager | 3963 CAPITOL DRIVE, PALM HARBOR, FL, 34685 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-10-08 | 3963 CAPITOL DRIVE, PALM HARBOR, FL 34685 | No data |
| CHANGE OF MAILING ADDRESS | 2015-10-08 | 3963 CAPITOL DRIVE, PALM HARBOR, FL 34685 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-14 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-05-08 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-24 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-04-18 |
| ANNUAL REPORT | 2015-04-17 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
