Entity Name: | EMR COUNSELING & THERAPY SERVICES, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Co. |
Status: | Active |
Date Filed: | 25 Nov 2013 (11 years ago) |
Document Number: | L13000165061 |
FEI/EIN Number | 46-4187483 |
Address: | 325 Lakepointe Dr, Altamonte Springs, FL, 32701, US |
Mail Address: | 325 Lakepointe Dr, Altamonte Springs, FL, 32701, US |
ZIP code: | 32701 |
County: | Seminole |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1114340635 | 2014-02-04 | 2014-02-04 | 341 N MAITLAND AVE, SUITE 200, MAITLAND, FL, 327514783, US | 341 N MAITLAND AVE, SUITE 200, MAITLAND, FL, 327514783, US | |||||||||||||||||||||||||
|
Phone | +1 407-265-2100 |
Fax | 4072652872 |
Authorized person
Name | DR. EDNA M RODRIGUEZ |
Role | PRESIDENT |
Phone | 4072652100 |
Taxonomy
Taxonomy Code | 101YM0800X - Mental Health Counselor |
License Number | MH 11985 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | STATE OF FLORIDA, DEPARTMENT OF HEALTH LICENSE |
Number | MH 11985 |
State | FL |
Name | Role | Address |
---|---|---|
PORTO RALPH F | Agent | 16300 County Rd 455, Montverde, FL, 34756 |
Name | Role | Address |
---|---|---|
RODRIGUEZ EDNA M | Managing Member | 325 Lakepointe Dr, Altamonte Springs, FL, 32701 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2024-01-25 | 325 Lakepointe Dr, Unit 104, Altamonte Springs, FL 32701 | No data |
CHANGE OF MAILING ADDRESS | 2024-01-25 | 325 Lakepointe Dr, Unit 104, Altamonte Springs, FL 32701 | No data |
REGISTERED AGENT ADDRESS CHANGED | 2022-03-04 | 16300 County Rd 455, Unit 612, Montverde, FL 34756 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-01-25 |
ANNUAL REPORT | 2023-03-09 |
ANNUAL REPORT | 2022-03-04 |
ANNUAL REPORT | 2021-01-28 |
ANNUAL REPORT | 2020-01-29 |
ANNUAL REPORT | 2019-02-09 |
ANNUAL REPORT | 2018-01-12 |
ANNUAL REPORT | 2017-01-12 |
ANNUAL REPORT | 2016-01-23 |
AMENDED ANNUAL REPORT | 2015-07-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State