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PSYCH ME HEALTH SERVICES INC

Company Details

Entity Name: PSYCH ME HEALTH SERVICES INC
Jurisdiction: FLORIDA
Filing Type: Florida Profit Corporation
Status: Active
Date Filed: 29 Mar 2023 (2 years ago)
Document Number: P23000025587
FEI/EIN Number 92-3363041
Mail Address: 2313 W ABDELLA STREET, TAMPA, FL 33607
Address: 4311 W WATERS AVENUE, 304B, TAMPA, FL 33614
ZIP code: 33614
County: Hillsborough
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942995782 2023-04-07 2023-07-05 2313 W ABDELLA ST, TAMPA, FL, 336071603, US 4311 W WATERS AVE STE 304B, TAMPA, FL, 336141901, US

Contacts

Phone +1 813-400-2201
Fax 8132125230

Authorized person

Name ISMARA HERNANDEZ CARRAZANA
Role CEO
Phone 8134002201

Taxonomy

Taxonomy Code 2084P0800X - Psychiatry Physician
Is Primary Yes
Taxonomy Code 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary No

Agent

Name Role Address
HERNANDEZ CARRAZANA, ISMARA Agent 2313 W ABDELLA STREET, TAMPA, FL 33607

President

Name Role Address
HERNANDEZ CARRAZANA, ISMARA President 2313 W ABDELLA STREET, TAMPA, FL 33607

Documents

Name Date
ANNUAL REPORT 2024-02-08
Domestic Profit 2023-03-29

Date of last update: 10 Feb 2025

Sources: Florida Department of State