| Entity Name: | EMPOWER ME CLINICAL PRACTICE, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EMPOWER ME CLINICAL PRACTICE, 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: | 13 Nov 2012 (12 years ago) |
| Last Event: | LC ARTICLE OF CORRECTION |
| Event Date Filed: | 21 Nov 2012 (12 years ago) |
| Document Number: | L12000142803 |
| FEI/EIN Number |
46-1380956
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10568 LongLeaf Lane, Wellington, FL, 33414, US |
| Mail Address: | 10568 Longleaf Lane, Wellington, FL, 33414, US |
| ZIP code: | 33414 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710223458 | 2012-12-28 | 2024-01-19 | 10568 LONGLEAF LN, WELLINGTON, FL, 334149398, US | 10568 LONGLEAF LN, WELLINGTON, FL, 33414, US | |||||||||||||||||||||||||
|
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| Phone | +1 561-469-9670 |
| Fax | 5616343861 |
Authorized person
| Name | DR. SELENA A LAMOTTE |
| Role | OWNER |
| Phone | 5614699670 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW11099 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007968500 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| LAMOTTE, DSW LCSW SELENA DR. | Manager | 10568 LongLeaf Lane, Wellington, FL, 33414 |
| BAKER PAUL | Authorized Person | 10568 LongLeaf Lane, Wellington, FL, 33414 |
| LAMOTTE, DSW SELENA Dr. | Agent | 10568 LongLeaf Lane, Wellington, FL, 33414 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G18000076745 | DR. SELENA LAMOTTE, DSW | ACTIVE | 2018-07-14 | 2028-12-31 | - | 10568 LONGLEAF LN, WELLINGTON, FL, 33414 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-01 | 10568 LongLeaf Lane, Wellington, FL 33414 | - |
| CHANGE OF MAILING ADDRESS | 2023-04-01 | 10568 LongLeaf Lane, Wellington, FL 33414 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-01 | 10568 LongLeaf Lane, Wellington, FL 33414 | - |
| REGISTERED AGENT NAME CHANGED | 2018-03-25 | LAMOTTE, DSW, SELENA, Dr. | - |
| LC ARTICLE OF CORRECTION | 2012-11-21 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-04-01 |
| ANNUAL REPORT | 2022-04-26 |
| ANNUAL REPORT | 2021-04-26 |
| ANNUAL REPORT | 2020-05-28 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-01-28 |
| ANNUAL REPORT | 2016-01-04 |
| ANNUAL REPORT | 2015-04-13 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
