| Entity Name: | MICHELLE DAVIS, LCSW, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 13 Jul 2020 (5 years ago) |
| Document Number: | L20000202392 |
| FEI/EIN Number | 85-1981247 |
| Address: | 1480 ROYAL PALM BEACH BLVD, C, ROYAL PALM BEACH, FL, 33411 |
| Mail Address: | 348 SE Huron Ter, Port St Lucie, FL, 34983, US |
| ZIP code: | 33411 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851010367 | 2022-08-26 | 2022-08-26 | 1480 ROYAL PALM BEACH BLVD STE C, ROYAL PALM BEACH, FL, 334111608, US | 1480 ROYAL PALM BEACH BLVD STE C, ROYAL PALM BEACH, FL, 334111608, US | |||||||||||||||
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| Phone | +1 561-312-5846 |
| Fax | 5618981527 |
Authorized person
| Name | MICHELLE DAVIS |
| Role | LICENSED CLINICAL SOCIAL WORKER |
| Phone | 5613125846 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| DAVIS MICHELLE L | Agent | 348 SE Huron Ter, Port St Lucie, FL, 34983 |
| Name | Role | Address |
|---|---|---|
| DAVIS MICHELLE L | Manager | 1480 ROYAL PALM BEACH BLVD, STE C, ROYAL PALM BEACH, FL, 33411 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2023-04-27 | 1480 ROYAL PALM BEACH BLVD, C, ROYAL PALM BEACH, FL 33411 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-27 | 348 SE Huron Ter, Port St Lucie, FL 34983 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-27 |
| ANNUAL REPORT | 2022-03-08 |
| ANNUAL REPORT | 2021-07-27 |
| Florida Limited Liability | 2020-07-13 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
