| Entity Name: | STEPHEN E. NASSAR, PSY.D., LCSW, P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 22 Nov 2002 (22 years ago) |
| Document Number: | P02000126251 |
| FEI/EIN Number | 134222541 |
| Address: | 3684 N WICKHAM RD., SUITE B, MELBOURNE, FL, 32935 |
| Mail Address: | 3684 N WICKHAM RD., SUITE B, MELBOURNE, FL, 32935 |
| ZIP code: | 32935 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1659305571 | 2006-07-10 | 2011-10-26 | 3684 N WICKHAM RD, SUITE B, MELBOURNE, FL, 329352328, US | 3684 N WICKHAM RD, SUITE B, MELBOURNE, FL, 329352328, US | |||||||||||||||||||||||||||
|
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| Phone | +1 321-751-3636 |
| Fax | 3217518108 |
Authorized person
| Name | DR. STEPHEN EDWARD NASSAR |
| Role | CEO |
| Phone | 3217513636 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6228 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | SW3802 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| NASSAR STEPHEN E | Agent | 3684 N WICKHAM RD, MELBOURNE, FL, 32935 |
| Name | Role | Address |
|---|---|---|
| NASSAR STEPHEN E | Director | 3684 N WICKHAM RD, STE B, MELBOURNE, FL, 32935 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2014-04-23 | NASSAR, STEPHEN E. | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2010-02-17 | 3684 N WICKHAM RD., SUITE B, MELBOURNE, FL 32935 | No data |
| CHANGE OF MAILING ADDRESS | 2010-02-17 | 3684 N WICKHAM RD., SUITE B, MELBOURNE, FL 32935 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2006-02-06 | 3684 N WICKHAM RD, STE B, MELBOURNE, FL 32935 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-19 |
| ANNUAL REPORT | 2023-03-10 |
| ANNUAL REPORT | 2022-03-21 |
| ANNUAL REPORT | 2021-03-22 |
| ANNUAL REPORT | 2020-03-23 |
| ANNUAL REPORT | 2019-04-05 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-01-19 |
| ANNUAL REPORT | 2016-05-12 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
