ELLEN R BACHMEYER LCSW LLC
Social Work at Campbell Ave, Lady Lake, FL

License number
Florida SW3292
Category
Social Work
Type
Clinical
Owner
Name: ELLEN R BACHMEYER LCSW
Title: OWNER
Phone: (352) 209-6211
Address
Address 2
270 Campbell Ave, Lady Lake, FL 32162
PO Box 770575, Winter Garden, FL 34777
National Provider ID: 1437467479
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ELLEN R. BACHMEYER, LCSW, LLC

Lady Lake, FL  -  Jupiter, FL  -  Ocala, FL  -  Oxford, FL

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Offices and Clinics of Medical Doctors, Nsk
Doing business as:
Ellen R Bachmeyer LLC
Inactive reason:
LC AMENDMENT AND NAME CHANGE
Registration:
Oct 23, 2008
Inactive since:
Oct 12, 2012
Phone:
(561) 601-7696 (Phone)
Addresses:
270 Campbell Ave, The Villages, FL 32162 (Physical)
100 Via Royale #101, Jupiter, FL 33458 (Mailing)
10566 SE 32 Ave, Ocala, FL 34480
5434 Admiral Way, Oxford, FL 34484
State ID:
L08000099601
Business type:
Florida Limited Liability Company
Secretarys:
Ellen R Bachmeyer (Managing Member), 100 Via Royale, Jupiter, FL 33458 (Physical),Thomas J Bachmeyer (Secretary), 100 Via Royal #101, Jupiter, FL 33458 (Physical)
Agent:
Ellen Bachmeyer,100 Via Royale #101, Jupiter, FL 33458 (Physical)
EIN:
273165271
Categories:
Social Workers

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