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 |
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 | |||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HERNANDEZ CARRAZANA, ISMARA | Agent | 2313 W ABDELLA STREET, TAMPA, FL 33607 |
Name | Role | Address |
---|---|---|
HERNANDEZ CARRAZANA, ISMARA | President | 2313 W ABDELLA STREET, TAMPA, FL 33607 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-08 |
Domestic Profit | 2023-03-29 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State