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MEHTA PSYCHOLOGICAL SERVICES, INC.

Company Details

Entity Name: MEHTA PSYCHOLOGICAL SERVICES, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 27 May 2021 (4 years ago)
Document Number: P21000050446
FEI/EIN Number 87-0980355
Address: 13245 ATLANTIC BLVD., 4-328, JACKSONVILLE, FL, 32225
Mail Address: 13245 ATLANTIC BLVD., 4-328, JACKSONVILLE, FL, 32225
ZIP code: 32225
County: Duval
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1619741154 2023-11-14 2023-11-14 2142 INTRACOASTAL SOUND DR E, JACKSONVILLE, FL, 322241367, US 13245 ATLANTIC BLVD STE 4-328, JACKSONVILLE, FL, 322257121, US

Contacts

Phone +1 904-901-9184

Authorized person

Name BHUMI MEHTA
Role PSYCHOLOGIST
Phone 9049019184

Taxonomy

Taxonomy Code 103T00000X - Psychologist
Is Primary Yes

Agent

Name Role Address
MEHTA BHUMI Agent 13245 ATLANTIC BLVD., JACKSONVILLE, FL, 32225

Chief Executive Officer

Name Role Address
MEHTA BHUMI Chief Executive Officer 13245 ATLANTIC BLVD., SUITE 4-328, JACKSONVILLE, FL, 32225

Documents

Name Date
ANNUAL REPORT 2024-04-30
ANNUAL REPORT 2023-04-25
ANNUAL REPORT 2022-04-26
Domestic Profit 2021-05-27

Date of last update: 02 Feb 2025

Sources: Florida Department of State