| Entity Name: | ELLIE MENTAL HEALTH OF ESTERO, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 02 Aug 2022 (3 years ago) |
| Document Number: | L22000339407 |
| FEI/EIN Number | 883397572 |
| Mail Address: | 4421 TAMARIND WAY, NAPLES, FL, 34119, US |
| Address: | 22904 Lyden Drive, ESTERO, FL, 33928, US |
| ZIP code: | 33928 |
| County: | Lee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851029243 | 2022-08-12 | 2024-01-05 | 4421 TAMARIND WAY, NAPLES, FL, 341199685, US | 22904 LYDEN DR STE 104, ESTERO, FL, 339287048, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 908-432-4636 |
Authorized person
| Name | MARCUS SILVA |
| Role | MANAGING MEMBER |
| Phone | 9084324636 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GRANT, COTTRELL & MILLER-MEYERS, PLLC | Agent | 5147 CASTELLO DRIVE, NAPLES, FL, 34103 |
| Name | Role | Address |
|---|---|---|
| ELLIE MENTAL HEALTH OF SOUTHWEST FLORIDA, LLC | Managing Member | No data |
| JENNIFER SILVA | Managing Member | 4421 TAMARIND WAY, NAPLES, FL, 34119 |
| MARCUS B. SILVA | Managing Member | 4421 TAMARIND WAY, NAPLES, FL, 34119 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000126575 | ELLIE MENTAL HEALTH | ACTIVE | 2022-10-10 | 2027-12-31 | No data | 4421 TAMARIND WAY, NAPLES, FL, 34119 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2022-10-10 | 22904 Lyden Drive, SUITE 4, ESTERO, FL 33928 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-09 |
| ANNUAL REPORT | 2023-02-03 |
| Florida Limited Liability | 2022-08-02 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
