| Entity Name: | EMERY MILNE PSYCHOLOGICAL GROUP, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Aug 2018 (7 years ago) |
| Document Number: | L18000193310 |
| FEI/EIN Number | 83-1539485 |
| Address: | 165 Wells Road, Suite 304, Orange Park, FL, 32073, US |
| Mail Address: | 165 Wells Road, Suite 304, Orange Park, FL, 32073, US |
| ZIP code: | 32073 |
| County: | Clay |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1548741705 | 2018-08-27 | 2022-01-24 | 165 WELLS RD STE 304, ORANGE PARK, FL, 320733037, US | 165 WELLS RD STE 304, ORANGE PARK, FL, 320733037, US | |||||||||||||||||||
|
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| Phone | +1 904-720-4040 |
| Fax | 9047204596 |
Authorized person
| Name | DR. STEPHANIE MILNE |
| Role | PSYCHOLOGIST/MANAGER |
| Phone | 9042704040 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY9283 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MILNE STEPHANIE M | Agent | 165 Wells Road, Orange Park, FL, 32073 |
| Name | Role | Address |
|---|---|---|
| MILNE STEPHANIE M | Manager | 165 Wells Road, Orange Park, FL, 32073 |
| EMERY BRIAN K | Manager | 165 Wells Road, Orange Park, FL, 32073 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-01-31 | 165 Wells Road, Suite 304, Orange Park, FL 32073 | No data |
| CHANGE OF MAILING ADDRESS | 2022-01-31 | 165 Wells Road, Suite 304, Orange Park, FL 32073 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-31 | 165 Wells Road, Suite 304, Orange Park, FL 32073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-07 |
| ANNUAL REPORT | 2023-01-08 |
| ANNUAL REPORT | 2022-01-31 |
| ANNUAL REPORT | 2021-01-10 |
| ANNUAL REPORT | 2020-01-19 |
| ANNUAL REPORT | 2019-01-03 |
| Florida Limited Liability | 2018-08-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
