| Entity Name: | SEMINOLE COMMUNITY MENTAL HEALTH CENTER, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 16 Dec 1969 (55 years ago) |
| Document Number: | 717744 |
| FEI/EIN Number | 591304471 |
| Address: | 237 FERNWOOD BLVD, FERN PARK, FL, 32730, US |
| Mail Address: | 237 FERNWOOD BLVD, FERN PARK, FL, 32730, US |
| ZIP code: | 32730 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740478627 | 2007-10-04 | 2007-10-04 | 237 FERNWOOD BLVD, FERN PARK, FL, 327302116, US | 351 S BAY AVE, SANFORD, FL, 327712140, US | |||||||||||||||||
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| Phone | +1 407-321-3154 |
Authorized person
| Name | RAYNETTE LAMAR |
| Role | RESIDENTIAL COUNSELOR |
| Phone | 4073218908 |
Taxonomy
| Taxonomy Code | 323P00000X - Psychiatric Residential Treatment Facility |
| License Number | 323P00000X |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT Corporation System | Agent | 1200 SOUTH PINE ISLAND ROAD, PLANTATION, FL, 33324 |
| Name | Role | Address |
|---|---|---|
| FLORIO KAREN | Secretary | 1800 Mercy Drive, Suite 100, Orlando, FL, 32808 |
| Name | Role | Address |
|---|---|---|
| JOHNSON FORBES | Director | 901 NORTH ORLANDO AVENUE, MAITLAND, FL, 32755 |
| BATMAN JON | Director | 200 MAITLAND AVE, ALTAMONTE SPRINGS, FL, 32701 |
| SNEED MARY | Director | 1612 RIVER BIRCH AVE, OVIEDO, FL, 32765 |
| Adams Preston | Director | 8092 Canyon Lake Circle, Orlando, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| DRISKELL DEBBIE | Officer | 1920 LAKESIDE DRIVE, ORLANDO, FL, 32803 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G13000058516 | TURNING POINT | EXPIRED | 2013-06-12 | 2018-12-31 | No data | 237 FERNWOOD BLVD., FERN PARK, FL, 32730 |
| G12000105703 | FIRST BEHAVIORAL, INC. | EXPIRED | 2012-10-31 | 2017-12-31 | No data | 237 FERNWOOD BLVD, FERN PARK, FL, 32730 |
| G08121900457 | SEMINOLE BEHAVIORAL HEALTHCARE | EXPIRED | 2008-04-30 | 2013-12-31 | No data | 237 FERNWOOD BLVD, FERN PARK, FL, 32730 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| MERGER | 2014-06-19 | No data | CORPORATION WAS PART OF A MERGER. QUALIFIED CORPORATION WAS 769011. MERGER NUMBER 500000141545 |
| AMENDMENT | 2013-08-07 | No data | No data |
| NAME CHANGE AMENDMENT | 1984-07-03 | SEMINOLE COMMUNITY MENTAL HEALTH CENTER, INC. | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
