| Entity Name: | KATHARINE USHER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 31 Mar 2014 (11 years ago) |
| Document Number: | P14000029109 |
| FEI/EIN Number | 46-5309122 |
| Address: | 232 West Fiesta Key Loop, DELAND, FL, 32720, US |
| Mail Address: | 232 West Fiesta Key Loop, DELAND, FL, 32720, US |
| ZIP code: | 32720 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871083642 | 2018-05-16 | 2018-05-16 | 1109 W EUCLID AVE, DELAND, FL, 327206553, US | 1109 W EUCLID AVE, DELAND, FL, 327206553, US | |||||||||||||||||||||||||
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| Phone | +1 386-943-9040 |
| Fax | 3869439937 |
Authorized person
| Name | MS. KATHARINE A USHER |
| Role | PRESIDENT |
| Phone | 3867470687 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH12075 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 007338600 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| USHER KATHARINE A | Agent | 232 West Fiesta Key Loop, DELAND, FL, 32720 |
| Name | Role | Address |
|---|---|---|
| USHER KATHARINE A | President | 232 West Fiesta Key Loop, DELAND, FL, 32720 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2015-03-22 | 232 West Fiesta Key Loop, DELAND, FL 32720 | No data |
| CHANGE OF MAILING ADDRESS | 2015-03-22 | 232 West Fiesta Key Loop, DELAND, FL 32720 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2015-03-22 | 232 West Fiesta Key Loop, DELAND, FL 32720 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-07 |
| ANNUAL REPORT | 2023-02-23 |
| ANNUAL REPORT | 2022-01-25 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-03-15 |
| ANNUAL REPORT | 2018-01-16 |
| ANNUAL REPORT | 2017-04-05 |
| ANNUAL REPORT | 2016-04-09 |
| ANNUAL REPORT | 2015-03-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
