Search icon

MARY ANN WHALEN, LCSW, LLC

Company Details

Entity Name: MARY ANN WHALEN, LCSW, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 03 Oct 2018 (6 years ago)
Document Number: L18000234866
FEI/EIN Number 83-2500173
Address: 28017 OCEANA DR., BONITA SPRINGS, FL 34135
Mail Address: 28017 OCEANA DR., BONITA SPRINGS, FL 34135
ZIP code: 34135
County: Lee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1538721857 2019-07-08 2020-06-22 28017 OCEANA DR, BONITA SPRINGS, FL, 341358630, US 28017 OCEANA DR, BONITA SPRINGS, FL, 341358630, US

Contacts

Phone +1 707-694-9524

Authorized person

Name MS. MARY ANN WHALEN
Role OWNER
Phone 7076949524

Taxonomy

Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary Yes

Agent

Name Role Address
WHALEN, MARY A Agent 28017 OCEANA DR., BONITA SPRINGS, FL 34135

Authorized Person

Name Role Address
WHALEN, MARY A Authorized Person 28017 OCEANA DR., BONITA SPRINGS, FL 34135

Documents

Name Date
ANNUAL REPORT 2025-02-05
ANNUAL REPORT 2024-03-18
ANNUAL REPORT 2023-02-08
ANNUAL REPORT 2022-02-16
ANNUAL REPORT 2021-03-07
ANNUAL REPORT 2020-01-21
ANNUAL REPORT 2019-03-30
Florida Limited Liability 2018-10-03

Date of last update: 16 Feb 2025

Sources: Florida Department of State