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NELSIE WALKER PA

Company Details

Entity Name: NELSIE WALKER PA
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Inactive
Date Filed: 06 Nov 2015 (9 years ago)
Date of dissolution: 27 Sep 2024 (5 months ago)
Last Event: ADMIN DISSOLUTION FOR ANNUAL REPORT
Event Date Filed: 27 Sep 2024 (5 months ago)
Document Number: P15000091519
FEI/EIN Number 36-4826330
Address: 3614 54TH STREET WEST, A-1, Bradenton, FL, 34209, US
Mail Address: 3614 54TH STREET WEST, BRADENTON, FL, 34209, US
ZIP code: 34209
County: Manatee
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861851354 2016-02-12 2016-02-12 5726 CORTEZ RD W, A-1, BRADENTON, FL, 342102701, US 3501 CORTEZ RD W, MAIN LOBBY, BRADENTON, FL, 342103104, US

Contacts

Phone +1 941-812-3977
Fax 9417950181
Phone +1 941-795-7330

Authorized person

Name MS. NELSIE ENEIDA WALKER
Role PRESIDENT
Phone 9418123977

Taxonomy

Taxonomy Code 101YA0400X - Addiction (Substance Use Disorder) Counselor
License Number CAP #1489
State FL
Is Primary No
Taxonomy Code 101YM0800X - Mental Health Counselor
License Number LMHC #0003538
State FL
Is Primary Yes

Agent

Name Role Address
WALKER NELSIE E Agent 3614 54TH STREET WEST, BRADENTON, FL, 34209

President

Name Role Address
WALKER NELSIE President 3614 54TH STREET WEST, BRADENTON, FL, 34209

Secretary

Name Role Address
WALKER NELSIE Secretary 3614 54TH STREET WEST, BRADENTON, FL, 34209

Events

Event Type Filed Date Value Description
ADMIN DISSOLUTION FOR ANNUAL REPORT 2024-09-27 No data No data
CHANGE OF PRINCIPAL ADDRESS 2021-02-20 3614 54TH STREET WEST, A-1, Bradenton, FL 34209 No data
CHANGE OF MAILING ADDRESS 2021-02-20 3614 54TH STREET WEST, A-1, Bradenton, FL 34209 No data

Documents

Name Date
ANNUAL REPORT 2023-03-22
ANNUAL REPORT 2022-04-12
ANNUAL REPORT 2021-02-20
ANNUAL REPORT 2020-05-16
ANNUAL REPORT 2019-03-25
ANNUAL REPORT 2018-03-20
ANNUAL REPORT 2017-02-20
Domestic Profit 2015-11-06

Date of last update: 03 Feb 2025

Sources: Florida Department of State