| Entity Name: | FISHER COUNSELING & MEDIATION SERVICES INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 03 Jul 2006 (19 years ago) |
| Last Event: | ARTICLES OF CORRECTION/NAME CHANGE |
| Event Date Filed: | 10 Jul 2006 (19 years ago) |
| Document Number: | P06000088941 |
| FEI/EIN Number | 205139800 |
| Address: | 3653 CORTEZ ROAD W, SUITE 110C, BRADENTON, FL, 34210 |
| Mail Address: | 3653 CORTEZ ROAD W, SUITE 110C, BRADENTON, FL, 34210, US |
| ZIP code: | 34210 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609231067 | 2015-12-29 | 2015-12-29 | 3653 CORTEZ RD W, SUITE 110C, BRADENTON, FL, 342103168, US | 3653 CORTEZ RD W, SUITE 110C, BRADENTON, FL, 342103168, US | |||||||||||||||||||||||||
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| Phone | +1 941-758-2529 |
| Fax | 9417553564 |
Authorized person
| Name | MS. VALERIE ANGELICA FISHER |
| Role | OWNER |
| Phone | 9417582529 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 101YP2500X - Professional Counselor |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 7B6B8 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| FISHER VALERIE A | Agent | 3653 CORTEZ ROAD W, BRADENTON, FL, 34210 |
| Name | Role | Address |
|---|---|---|
| FISHER VALERIE A | President | 3653 CORTEZ ROAD W, BRADENTON, FL, 34210 |
| Name | Role | Address |
|---|---|---|
| FISHER VALERIE A | Secretary | 3653 CORTEZ ROAD W, BRADENTON, FL, 34210 |
| Name | Role | Address |
|---|---|---|
| FISHER VALERIE A | Treasurer | 3653 CORTEZ ROAD W, BRADENTON, FL, 34210 |
| Name | Role | Address |
|---|---|---|
| FISHER VALERIE A | Director | 3653 CORTEZ ROAD W, BRADENTON, FL, 34210 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2014-04-19 | 3653 CORTEZ ROAD W, SUITE 110C, BRADENTON, FL 34210 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2014-04-19 | 3653 CORTEZ ROAD W, SUITE 110C, BRADENTON, FL 34210 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2007-04-30 | 3653 CORTEZ ROAD W, SUITE 110C, BRADENTON, FL 34210 | No data |
| ARTICLES OF CORRECT-ION/NAME CHANGE | 2006-07-10 | FISHER COUNSELING & MEDIATION SERVICES INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| ANNUAL REPORT | 2023-04-08 |
| ANNUAL REPORT | 2022-02-03 |
| ANNUAL REPORT | 2021-02-11 |
| ANNUAL REPORT | 2020-06-08 |
| ANNUAL REPORT | 2019-03-28 |
| ANNUAL REPORT | 2018-04-09 |
| ANNUAL REPORT | 2017-04-03 |
| ANNUAL REPORT | 2016-04-17 |
| ANNUAL REPORT | 2015-04-19 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
