| Entity Name: | ERMC LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Inactive |
| Date Filed: | 16 Jan 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2024 (4 months ago) |
| Last Event: | REVOKED FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2024 (4 months ago) |
| Document Number: | M18000000430 |
| FEI/EIN Number | 33-0973846 |
| Address: | 450 Exchange, Irvine, CA, 92602, US |
| Mail Address: | 161 Washington Street, Conshohocken, PA, 19428, US |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922315340 | 2010-09-07 | 2016-09-28 | 3451 RIVERINA DR, PENSACOLA, FL, 325148158, US | 9910 GUIDY LN, PENSACOLA, FL, 325141670, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 617-594-0325 |
| Fax | 8504631612 |
| Phone | +1 850-462-1611 |
| Fax | 8504621612 |
Authorized person
| Name | ELIZABETH R CHARLES |
| Role | PRESIDENT OF CLINICAL OPERATIONS |
| Phone | 8504621611 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | 6917 |
| State | MA |
| Is Primary | Yes |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 12182 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW 12210 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW 7294 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 106H00000X - Marriage & Family Therapist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 010365700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 004395700 |
| State | FL |
| Issuer | MEDICAID |
| Number | 015031400 |
| State | FL |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| Universale Protection Service, LLC | Member | 450 Exchange, Irvine, CA, 92602 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| LC AMENDMENT | 2023-06-05 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-12 | 450 Exchange, Irvine, CA 92602 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-12 | 450 Exchange, Irvine, CA 92602 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-18 | 1201 HAYS ST, TALLAHASSEE, FL 32301 | No data |
| REGISTERED AGENT NAME CHANGED | 2022-01-18 | CORPORATION SERVICE COMPANY | No data |
| LC STMNT OF RA/RO CHG | 2022-01-18 | No data | No data |
| Name | Date |
|---|---|
| LC Amendment | 2023-06-05 |
| ANNUAL REPORT | 2023-04-12 |
| ANNUAL REPORT | 2022-03-28 |
| CORLCRACHG | 2022-01-18 |
| ANNUAL REPORT | 2021-04-22 |
| ANNUAL REPORT | 2020-05-30 |
| ANNUAL REPORT | 2019-04-08 |
| Foreign Limited | 2018-01-16 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
