| Entity Name: | CLINICAL PSYCHOLOGICAL SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Inactive |
| Date Filed: | 18 Apr 1997 (28 years ago) |
| Date of dissolution: | 26 Sep 2014 (10 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 26 Sep 2014 (10 years ago) |
| Document Number: | P97000035040 |
| FEI/EIN Number | 59-3427777 |
| Address: | 1927 BUFORD BLVD, TALLAHASSEE, FL 32308 |
| Mail Address: | 1927 BUFORD BLVD, TALLAHASSEE, FL 32308 |
| ZIP code: | 32308 |
| County: | Leon |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619141470 | 2008-04-14 | 2008-04-15 | 1927 BUFORD BLVD, TALLAHASSEE, FL, 323084466, US | 1927 BUFORD BLVD, TALLAHASSEE, FL, 323084466, US | |||||||||||||||||||
|
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| Phone | +1 850-309-0811 |
| Fax | 8503090812 |
Authorized person
| Name | MR. JAMES G BROWN |
| Role | PSYCHOLOGIST |
| Phone | 8503090811 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PSY3424 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BROWN, JAMES G | Agent | 5578 PEDRICK PLANTATION CIR, TALLAHASSEE, FL 32317 |
| Name | Role | Address |
|---|---|---|
| BROWN, JAMES G | Director | 5578 PEDRICK PLANTATION CIRCLE, TALLAHASSEE, FL 32317 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2014-09-26 | No data | No data |
| REINSTATEMENT | 2013-10-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | No data | No data |
| PENDING REINSTATEMENT | 2012-05-11 | No data | No data |
| REINSTATEMENT | 2012-05-10 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-29 | 1927 BUFORD BLVD, TALLAHASSEE, FL 32308 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-29 | 1927 BUFORD BLVD, TALLAHASSEE, FL 32308 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2002-01-21 | 5578 PEDRICK PLANTATION CIR, TALLAHASSEE, FL 32317 | No data |
| NAME CHANGE AMENDMENT | 1997-04-23 | CLINICAL PSYCHOLOGICAL SERVICES, INC. | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2012-05-10 |
| ANNUAL REPORT | 2008-01-04 |
| ANNUAL REPORT | 2007-01-10 |
| ANNUAL REPORT | 2006-07-03 |
| ANNUAL REPORT | 2005-04-29 |
| ANNUAL REPORT | 2004-04-01 |
| ANNUAL REPORT | 2003-01-09 |
| ANNUAL REPORT | 2002-01-21 |
| ANNUAL REPORT | 2001-01-26 |
| ANNUAL REPORT | 2000-02-07 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
