| Entity Name: | JACQUELINE C. EKSTROM, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Aug 2017 (8 years ago) |
| Document Number: | L17000170985 |
| FEI/EIN Number | 82-2444960 |
| Address: | 1103 9TH AVE. W., BRADENTON, FL, 34205 |
| Mail Address: | 4207 5th Ave NE, BRADENTON, FL, 34208, US |
| ZIP code: | 34205 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1528527231 | 2019-03-13 | 2019-03-13 | 4207 5TH AVE NE, BRADENTON, FL, 342085000, US | 1103 9TH AVE W, BRADENTON, FL, 342057717, US | |||||||||||||
|
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| Phone | +1 941-218-0061 |
Authorized person
| Name | JACQUELINE C EKSTROM |
| Role | OWNER |
| Phone | 9412180061 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role |
|---|---|
| PEEBLES LAW FIRM, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| EKSTROM JACQUELINE C | Authorized Member | 1103 9TH AVE. W., BRADENTON, FL, 34205 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2025-09-01 | 1103 9TH AVE. W., BRADENTON, FL 34205 | No data |
| CHANGE OF MAILING ADDRESS | 2019-02-25 | 1103 9TH AVE. W., BRADENTON, FL 34205 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-01-24 |
| ANNUAL REPORT | 2021-01-18 |
| ANNUAL REPORT | 2020-01-20 |
| ANNUAL REPORT | 2019-02-25 |
| ANNUAL REPORT | 2018-01-25 |
| Florida Limited Liability | 2017-08-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
