| Entity Name: | COMPREHENSIVE PSYCHOLOGICAL SERVICES OF BREVARD, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 20 Jun 2016 (9 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P16000053523 |
| FEI/EIN Number | 81-3055370 |
| Address: | 2323 S. BABCOCK STREET, MELBOURNE, FL, 32901 |
| Mail Address: | 2323 S. BABCOCK STREET, MELBOURNE, FL, 32901 |
| ZIP code: | 32901 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881134179 | 2017-03-06 | 2017-03-06 | 2323 S BABCOCK ST, SUITE B, MELBOURNE, FL, 329015300, US | 2323 S BABCOCK ST, SUITE B, MELBOURNE, FL, 329015300, US | |||||||||||||||||||
|
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| Phone | +1 321-802-3430 |
| Fax | 3218026031 |
Authorized person
| Name | JAMES MADY JR. |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 3218023430 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 8977 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PATRICIA C. NELSON, CPA, PA | Agent |
| Name | Role | Address |
|---|---|---|
| MADY JAMES J | President | 2323 S. BABCOCK STREEET, MELBOURNE, FL, 32901 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2018-03-07 |
| ANNUAL REPORT | 2017-03-22 |
| Domestic Profit | 2016-06-20 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
