| Entity Name: | ADULT PSYCHIATRIC SERVICES INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 11 Jun 2013 (12 years ago) |
| Date of dissolution: | 25 Sep 2020 (4 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2020 (4 years ago) |
| Document Number: | P13000050439 |
| FEI/EIN Number | 46-2947878 |
| Address: | 475 W Town Pl, Suite 205-E, St Augustine, FL, 32092, US |
| Mail Address: | 475 W Town Pl, Suite 205-E, St Augustine, FL, 32092, US |
| ZIP code: | 32092 |
| County: | St. Johns |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1326486390 | 2013-06-12 | 2013-07-23 | 4217 BAYMEADOWS RD STE 3, JACKSONVILLE, FL, 322174676, US | 4217 BAYMEADOWS RD STE 3, JACKSONVILLE, FL, 322174676, US | |||||||||||||||||||
|
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| Phone | +1 904-332-7431 |
| Fax | 9043327408 |
Authorized person
| Name | WENDIE LYNN LAND |
| Role | PRESIDENT |
| Phone | 9043327431 |
Taxonomy
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| License Number | ARNP9306281 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| LAND WENDIE L | Agent | 475 W Town Pl, St Augustine, FL, 32092 |
| Name | Role | Address |
|---|---|---|
| LAND WENDIE L | President | 475 W Town Pl, St Augustine, FL, 32092 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2020-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2017-02-13 | 475 W Town Pl, Suite 205-E, St Augustine, FL 32092 | No data |
| CHANGE OF MAILING ADDRESS | 2017-02-13 | 475 W Town Pl, Suite 205-E, St Augustine, FL 32092 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-13 | 475 W Town Pl, Suite 205-E, St Augustine, FL 32092 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-03-05 |
| ANNUAL REPORT | 2017-02-13 |
| ANNUAL REPORT | 2016-01-25 |
| ANNUAL REPORT | 2015-02-01 |
| ANNUAL REPORT | 2014-01-16 |
| Domestic Profit | 2013-06-11 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
