| Entity Name: | MARY ELLEN STAHR, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
MARY ELLEN STAHR, LCSW, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 10 Feb 2011 (14 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 22 Jan 2014 (11 years ago) |
| Document Number: | L11000018332 |
| FEI/EIN Number |
453565953
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3653 CORTEZ ROAD WEST, SUITE 110 H, BRADENTON, FL, 34210, US |
| Mail Address: | 3653 CORTEZ ROAD WEST, SUITE 110 H, BRADENTON, FL, 34210, US |
| ZIP code: | 34210 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962769307 | 2012-04-23 | 2014-01-27 | 3653 CORTEZ RD W, SUITE 110 H, BRADENTON, FL, 342103168, US | 3653 CORTEZ RD W, SUITE 110 H, BRADENTON, FL, 342103168, US | |||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 941-758-1636 |
| Fax | 9418946224 |
Authorized person
| Name | MARY ELLEN STAHR |
| Role | OWNER |
| Phone | 9417581636 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 1275 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | AETNA |
| Number | 0004477465 |
| State | FL |
| Issuer | AMERIGROUP |
| Number | 01128702 |
| State | FL |
| Issuer | MEDICAID |
| Number | 001713800 |
| State | FL |
| Issuer | MHN |
| Number | 257481 |
| State | FL |
| Issuer | VALUE OPTIONS/MILITARY ONE SOURCE |
| Number | UAW065769 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| STAHR MARY ELLEN LCSW | Managing Member | 3653 CORTEZ ROAD WEST, STE. 110 H, BRADENTON, FL, 34210 |
| STAHR MARY ELLEN LCSW | Agent | 3653 CORTEZ ROAD WEST, BRADENTON, FL, 34210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2014-01-22 | - | - |
| CHANGE OF PRINCIPAL ADDRESS | 2014-01-22 | 3653 CORTEZ ROAD WEST, SUITE 110 H, BRADENTON, FL 34210 | - |
| CHANGE OF MAILING ADDRESS | 2014-01-22 | 3653 CORTEZ ROAD WEST, SUITE 110 H, BRADENTON, FL 34210 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2014-01-22 | 3653 CORTEZ ROAD WEST, SUITE 110 H, BRADENTON, FL 34210 | - |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2013-09-27 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-29 |
| ANNUAL REPORT | 2023-07-17 |
| ANNUAL REPORT | 2022-07-08 |
| ANNUAL REPORT | 2021-04-17 |
| ANNUAL REPORT | 2020-06-18 |
| ANNUAL REPORT | 2019-04-23 |
| ANNUAL REPORT | 2018-03-15 |
| ANNUAL REPORT | 2017-03-27 |
| ANNUAL REPORT | 2016-01-24 |
| ANNUAL REPORT | 2015-04-21 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
