| Entity Name: | KAREN MOORE, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 12 Feb 2018 (7 years ago) |
| Document Number: | L18000038158 |
| FEI/EIN Number | 83-0592594 |
| Address: | 1111 SE Federal Hwy, Stuart, FL, 34994, US |
| Mail Address: | 1111 SE Federal Hwy, Stuart, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386269603 | 2020-06-11 | 2023-07-28 | 1111 SE FEDERAL HWY STE 206, STUART, FL, 349943842, US | 1111 SE FEDERAL HWY STE 206, STUART, FL, 349943842, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 772-212-2935 |
Authorized person
| Name | KAREN MOORE |
| Role | PSYCHOTHERAPIST |
| Phone | 7722122935 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MOORE KAREN M | Agent | 1111 SE Federal Hwy, Stuart, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| Moore Karen M | Miss | 160 SW PEACOCK BLVD, PORT ST. LUCIE, FL, 34986 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G21000081622 | BLOOM MENTAL HEALTH HEALING | ACTIVE | 2021-06-18 | 2026-12-31 | No data | 900 SE OCEAN BLVD, D232, STUART, FL, 34994 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-26 | 1111 SE Federal Hwy, 206, Stuart, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-26 | 1111 SE Federal Hwy, 206, Stuart, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-26 | 1111 SE Federal Hwy, 206, Stuart, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-26 |
| ANNUAL REPORT | 2023-05-09 |
| ANNUAL REPORT | 2022-04-30 |
| ANNUAL REPORT | 2021-04-14 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-30 |
| Florida Limited Liability | 2018-02-12 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
