| Entity Name: | PSYCHIATRIC BEHAVIORAL SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 13 Sep 2012 (12 years ago) |
| Document Number: | P12000077819 |
| FEI/EIN Number | 46-1009835 |
| Address: | 2852 66th St N, ST PETERSBURG, FL, 33710, US |
| Mail Address: | PO BOX 47247, ST PETERSBURG, FL, 33743-7247, US |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932451507 | 2012-10-08 | 2012-10-31 | PO BOX 47247, ST PETERSBURG, FL, 337437247, US | 6161 DR MARTIN L KING ST N, STE 102, ST PETERSBURG, FL, 337031104, US | |||||||||||||||||
|
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| Phone | +1 727-823-5555 |
Authorized person
| Name | EDWARD F MCCULLOUGH |
| Role | PRES |
| Phone | 7278235555 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP9266748 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCCULLOUGH EDWARD | Agent | 2852 66th St N, ST PETERSBURG, FL, 33710 |
| Name | Role | Address |
|---|---|---|
| MC CULLOUGH EDWARD | President | 2852 66th St N, ST PETERSBURG, FL, 33710 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-01-15 | 2852 66th St N, ST PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-01-15 | 2852 66th St N, ST PETERSBURG, FL 33710 | No data |
| CHANGE OF MAILING ADDRESS | 2013-04-24 | 2852 66th St N, ST PETERSBURG, FL 33710 | No data |
| REGISTERED AGENT NAME CHANGED | 2013-04-24 | MCCULLOUGH, EDWARD | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-11 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-04-17 |
| ANNUAL REPORT | 2021-04-30 |
| ANNUAL REPORT | 2020-01-16 |
| ANNUAL REPORT | 2019-04-29 |
| ANNUAL REPORT | 2018-04-15 |
| ANNUAL REPORT | 2017-04-29 |
| ANNUAL REPORT | 2016-04-16 |
| ANNUAL REPORT | 2015-01-15 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
