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PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE, INC. - Florida Company Profile

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Company Details

Entity Name: PSYCHOLOGICAL SERVICES OF ST. AUGUSTINE, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 11 Jan 1993 (33 years ago)
Date of dissolution: 23 Sep 2016 (9 years ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 23 Sep 2016 (9 years ago)
Document Number: P93000003331
FEI/EIN Number 593161680
Address: 1100-1 S PONCE DE LEON BLVD, SAINT AUGUSTINE, FL, 32084
Mail Address: 1100-1 S PONCE DE LEON BLVD, SAINT AUGUSTINE, FL, 32084
ZIP code: 32084
City: Saint Augustine
County: St. Johns
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
MERWIN JACK M Director 1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL, 32084
SELIG KAREN G Director 1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL, 32084
SELIG KAREN G Agent 1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL, 32084

National Provider Identifier

NPI Number:
1952451775

Authorized Person:

Name:
DR. JACK MERWIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TF0200X - Forensic Psychologist
Is Primary:
No

Contacts:

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 - -
REGISTERED AGENT NAME CHANGED 2009-03-31 SELIG, KAREN G -
REGISTERED AGENT ADDRESS CHANGED 2009-03-31 1100-1 S. PONCE DE LEON BLVD, ST. AUGUSTINE, FL 32084 -
CHANGE OF PRINCIPAL ADDRESS 2002-05-29 1100-1 S PONCE DE LEON BLVD, SAINT AUGUSTINE, FL 32084 -
CHANGE OF MAILING ADDRESS 2002-05-29 1100-1 S PONCE DE LEON BLVD, SAINT AUGUSTINE, FL 32084 -

Documents

Name Date
ANNUAL REPORT 2015-04-08
ANNUAL REPORT 2014-01-13
ANNUAL REPORT 2013-03-14
ANNUAL REPORT 2012-01-25
ANNUAL REPORT 2011-02-07
ANNUAL REPORT 2010-01-06
ANNUAL REPORT 2009-03-31
ANNUAL REPORT 2008-04-04
ANNUAL REPORT 2007-04-06
ANNUAL REPORT 2006-04-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State