| Entity Name: | LIGHTSHARE BEHAVIORAL WELLNESS & RECOVERY, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 1968 (57 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 14 Jul 2023 (2 years ago) |
| Document Number: | 714117 |
| FEI/EIN Number | 59-1304472 |
| Address: | 4579 NORTHGATE COURT, SARASOTA, FL 34234 |
| Mail Address: | 4579 Northgate Court, Attn: Mounira Ragsdale, SARASOTA, FL 34234 |
| ZIP code: | 34234 |
| County: | Sarasota |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1093488827 | 2021-07-28 | 2023-08-02 | 4579 NORTHGATE CT, SARASOTA, FL, 342342124, US | 4613 N WASHINGTON BLVD, SARASOTA, FL, 342342132, US | |||||||||||||||||||
|
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| Phone | +1 941-366-5333 |
Authorized person
| Name | SHAWNDRA ROBEY |
| Role | CEO |
| Phone | 9413665333 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1234 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| Ragsdale, Mounira | Agent | 4579 NORTHGATE COURT, SARASOTA, FL 34234 |
| Name | Role | Address |
|---|---|---|
| Robey, Shawny | Chief Executive Officer | 4579 Northgate Court, Attn: Mounira Ragsdale SARASOTA, FL 34234 |
| Name | Role | Address |
|---|---|---|
| Hoonhout, Eric | Board Chair | 4579 Northgate Court, SARASOTA, FL 34234 |
| Name | Role | Address |
|---|---|---|
| Cox, Jack | Secretary | 7015 Professional Pkwy, Sarasota, FL 34240 |
| Name | Role | Address |
|---|---|---|
| Fontana, Eric | Chief Financial Officer | 4579 Northgate Court, Attn: Mounira Ragsdale SARASOTA, FL 34234 |
| Name | Role | Address |
|---|---|---|
| Ragsdale, Mounira | Chief Administrative Officer | 4579 Northgate Court, Attn: Mounira Ragsdale SARASOTA, FL 34234 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000025744 | LIGHTSHARE BEHAVIORAL WELLNESS & RECOVERY | ACTIVE | 2023-02-24 | 2028-12-31 | No data | 4579 NORTHGATE COURT, SARASOTA, FL, 34234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2023-07-14 | LIGHTSHARE BEHAVIORAL WELLNESS & RECOVERY, INC. | No data |
| CHANGE OF MAILING ADDRESS | 2021-08-19 | 4579 NORTHGATE COURT, SARASOTA, FL 34234 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-08-19 | Ragsdale, Mounira | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-09-10 | 4579 NORTHGATE COURT, SARASOTA, FL 34234 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2012-09-10 | 4579 NORTHGATE COURT, SARASOTA, FL 34234 | No data |
| NAME CHANGE AMENDMENT | 1977-04-18 | FIRST STEP OF SARASOTA, INC. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-12 |
| AMENDED ANNUAL REPORT | 2023-07-17 |
| Name Change | 2023-07-14 |
| ANNUAL REPORT | 2023-02-16 |
| ANNUAL REPORT | 2022-01-31 |
| AMENDED ANNUAL REPORT | 2021-08-19 |
| ANNUAL REPORT | 2021-03-24 |
| ANNUAL REPORT | 2020-04-02 |
| ANNUAL REPORT | 2019-03-04 |
| ANNUAL REPORT | 2018-01-09 |
Date of last update: 06 Feb 2025
Sources: Florida Department of State
