| Entity Name: | SHOSHANA EISENBERGER, LCSW LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 18 Aug 2017 (7 years ago) |
| Document Number: | L17000176815 |
| FEI/EIN Number | 82-2528602 |
| Address: | 22345 GUADELOUPE ST, BOCA RATON, FL, 33433, US |
| Mail Address: | 22345 GUADELOUPE ST, BOCA RATON, FL, 33433, US |
| ZIP code: | 33433 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861918062 | 2017-08-18 | 2024-07-10 | 22345 GUADELOUPE ST, BOCA RATON, FL, 334334917, US | 22345 GUADELOUPE ST, BOCA RATON, FL, 334334917, US | |||||||||||||||||||
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| Phone | +1 845-548-3595 |
| Fax | 5619086718 |
Authorized person
| Name | STEPHANIE SHOSHANA EISENBERGER |
| Role | MANAGER/LCSW |
| Phone | 5612064638 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW11272 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EISENBERGER STEPHANIE S | Agent | 22345 GUADELOUPE ST, BOCA RATON, FL, 33433 |
| Name | Role | Address |
|---|---|---|
| EISENBERGER STEPHANIE S | Manager | 22345 GUEDELOUPE ST., BOCA RATON, FL, 33433 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-01 |
| ANNUAL REPORT | 2023-03-11 |
| ANNUAL REPORT | 2022-02-27 |
| ANNUAL REPORT | 2021-03-14 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-04-21 |
| Florida Limited Liability | 2017-08-18 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
