| Entity Name: | MELISSA B CALLAHAM, LCSW, PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | P19000076232 |
| FEI/EIN Number | 84-3875012 |
| Address: | 900 EAST OCEAN BLVD, SUITE D-130, STUART, FL, 34994, US |
| Mail Address: | 900 EAST OCEAN BLVD, SUITE D-130, STUART, FL, 34994, US |
| ZIP code: | 34994 |
| County: | Martin |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639700651 | 2020-01-29 | 2020-07-28 | 900 SE OCEAN BLVD STE D130, STUART, FL, 349943503, US | 900 SE OCEAN BLVD STE D130, STUART, FL, 349943503, US | |||||||||||||
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| Phone | +1 772-204-5260 |
Authorized person
| Name | MELISSA B CALLAHAM |
| Role | OWNER/PROVIDER |
| Phone | 7722045260 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CALLAHAM MELISSA B | Agent | 900 EAST OCEAN BLVD., STUART, FL, 34994 |
| Name | Role | Address |
|---|---|---|
| CALLAHAM MELISSA B | President | 4144 NE SKYLINE DR, JENSEN BEACH, FL, 34957 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2021-01-28 | 900 EAST OCEAN BLVD, SUITE D-130, STUART, FL 34994 | No data |
| CHANGE OF MAILING ADDRESS | 2021-01-28 | 900 EAST OCEAN BLVD, SUITE D-130, STUART, FL 34994 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2021-01-28 | 900 EAST OCEAN BLVD., SUITE D-130, STUART, FL 34994 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-18 |
| ANNUAL REPORT | 2023-02-27 |
| ANNUAL REPORT | 2022-03-04 |
| ANNUAL REPORT | 2021-01-28 |
| ANNUAL REPORT | 2020-02-03 |
| Domestic Profit | 2019-09-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
