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EMR COUNSELING & THERAPY SERVICES, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
PORTO RALPH F Agent 16300 County Rd 455, Montverde, FL, 34756

Managing Member

Name Role Address
RODRIGUEZ EDNA M Managing Member 325 Lakepointe Dr, Altamonte Springs, FL, 32701

Events

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

Documents

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