| Entity Name: | JEFFREY D BISHOP MA LMHC INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 29 Jul 2015 (10 years ago) |
| Document Number: | P15000064201 |
| FEI/EIN Number | 47-4839379 |
| Address: | 1728 KINGSLEY AVENUE, SUITE 7, ORANGE PARK, FL, 32073 |
| Mail Address: | 7001 Buckboard Court, Middleburg, FL, 32068, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568909729 | 2017-01-26 | 2017-01-26 | 1728 KINGSLEY AVE, SUITE 7, ORANGE PARK, FL, 320734460, US | 1728 KINGSLEY AVE, SUITE 7, ORANGE PARK, FL, 320734460, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 904-228-7148 |
Authorized person
| Name | MR. JEFFREY BISHOP |
| Role | PRESIDENT / PSYCHOTHERAPIST |
| Phone | 9042287148 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH11129 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BISHOP JEFFREY D | Agent | 1728 KINGSLEY AVENUE, ORANGE PARK, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| BISHOP JEFFREY D | President | 7001 Buckboard Court, Middleburg, FL, 32068 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2017-04-07 | 1728 KINGSLEY AVENUE, SUITE 7, ORANGE PARK, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-03 |
| ANNUAL REPORT | 2022-03-31 |
| ANNUAL REPORT | 2021-04-08 |
| ANNUAL REPORT | 2020-03-18 |
| ANNUAL REPORT | 2019-03-26 |
| ANNUAL REPORT | 2018-03-02 |
| ANNUAL REPORT | 2017-04-07 |
| ANNUAL REPORT | 2016-03-03 |
| Domestic Profit | 2015-07-29 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
