| Entity Name: | NORTHEAST FLORIDA EMDR AND COUNSELING, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 19 Dec 2022 (2 years ago) |
| Document Number: | L22000529728 |
| FEI/EIN Number | 92-3829795 |
| Address: | 1416 Park Ave STE 201, FERNANDINA BEACH, FL 32034 |
| Mail Address: | 76083 Deerwood Drive, YULEE, FL 32097 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174387559 | 2024-02-07 | 2024-02-07 | 76083 DEERWOOD DR, YULEE, FL, 320971682, US | 76083 DEERWOOD DR, YULEE, FL, 320971682, US | |||||||||||||
|
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| Phone | +1 772-559-4526 |
Authorized person
| Name | EMILY MASHBURN |
| Role | OWNER |
| Phone | 9044670071 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MASHBURN, EMILY A | Agent | 1416 Park Ave STE 201, FERNANDINA BEACH, FL 32034 |
| Name | Role | Address |
|---|---|---|
| Mashburn, Emily | Owner | 76083 Deerwood Drive, YULEE, FL 32097 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-05 | 1416 Park Ave STE 201, FERNANDINA BEACH, FL 32034 | No data |
| CHANGE OF MAILING ADDRESS | 2024-04-05 | 1416 Park Ave STE 201, FERNANDINA BEACH, FL 32034 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-05 | 1416 Park Ave STE 201, FERNANDINA BEACH, FL 32034 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-05 |
| Florida Limited Liability | 2022-12-19 |
Date of last update: 10 Feb 2025
Sources: Florida Department of State
