| Entity Name: | MENTAL HEALTH AMERICA OF NORTHEAST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 29 Oct 1970 (54 years ago) |
| Document Number: | 719602 |
| FEI/EIN Number | 590721416 |
| Address: | 1531 Lockend Court, JACKSONVILLE, FL, 32221, US |
| Mail Address: | 1531 Lockend Court, JACKSONVILLE, FL, 32221, US |
| ZIP code: | 32221 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629468376 | 2015-02-03 | 2019-02-19 | 4615 PHILIPS HWY STE 300, JACKSONVILLE, FL, 322079506, US | 4615 PHILIPS HWY STE 300, JACKSONVILLE, FL, 322079506, US | |||||||||||||||||||||||||||||||
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| Phone | +1 904-738-8420 |
| Fax | 9048622109 |
Authorized person
| Name | MS. WENDY LEIGH HUGHES |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 9043429200 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 175T00000X - Peer Specialist |
| Is Primary | No |
| Taxonomy Code | 225XM0800X - Mental Health Occupational Therapist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Kindy Michelle | Agent | 1531 Lockend Court, Jacksonville, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| Mansfield Jennifer | President | 4615 PHILIPS HWY STE 300, JACKSONVILLE, FL, 32207 |
| Name | Role | Address |
|---|---|---|
| LeNoble Shawn | Treasurer | 7624 Holiday Road S, JACKSONVILLE, FL, 32216 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2022-04-22 | No data | No data |
| AMENDMENT | 2007-11-13 | No data | No data |
| NAME CHANGE AMENDMENT | 2007-05-11 | MENTAL HEALTH AMERICA OF NORTHEAST FLORIDA, INC. | No data |
| NAME CHANGE AMENDMENT | 1995-11-03 | MENTAL HEALTH ASSOCIATION OF NORTHEAST FLORIDA, INC. | No data |
| AMENDMENT | 1987-11-04 | No data | No data |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
