| Entity Name: | MENTAL HEALTH ASSOCIATION OF WEST FLORIDA, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 20 Jun 1980 (45 years ago) |
| Document Number: | 752983 |
| FEI/EIN Number | 590799900 |
| Address: | 840 LAKEVIEW AVE, PENSACOLA, FL, 32501, US |
| Mail Address: | 840 LAKEVIEW AVE, PENSACOLA, FL, 32501, US |
| ZIP code: | 32501 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982722435 | 2007-03-26 | 2020-08-22 | 840 W LAKEVIEW AVE, PENSACOLA, FL, 325011967, US | 840 W LAKEVIEW AVE, PENSACOLA, FL, 325011967, US | |||||||||||||
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| Phone | +1 850-438-9879 |
Authorized person
| Name | MS. KRIS RENEE BUTLER |
| Role | CEO |
| Phone | 8504389879 |
Taxonomy
| Taxonomy Code | 251V00000X - Voluntary or Charitable Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CRAWFORD WILLIAM . | Agent | 1017 N. PALAFOX STREET, PENSACOLA, FL, 32501 |
| Name | Role | Address |
|---|---|---|
| GOMEZ LEWIS | Chairman | 1920 E. LAKEVIEW AVE., PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| GOMEZ LEWIS | Director | 1920 E. LAKEVIEW AVE., PENSACOLA, FL, 32503 |
| VALANZANO JERRY | Director | P.O. BOX7447, PENSACOLA, FL, 32534 |
| JONES EDDIE | Director | 608 W. AVERY STREET, PENSACOLA, FL, 32501 |
| FLOYD AMADA | Director | 3318 GLENEAGLES DR., PACE, FL, 32571 |
| PARKER PATRICIA | Director | 803 E. MORENO STREET, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| PARKER PATRICIA | Secretary | 803 E. MORENO STREET, PENSACOLA, FL, 32503 |
| Name | Role | Address |
|---|---|---|
| VALANZANO JERRY | Vice President | P.O. BOX7447, PENSACOLA, FL, 32534 |
| Name | Role | Address |
|---|---|---|
| JONES EDDIE | Treasurer | 608 W. AVERY STREET, PENSACOLA, FL, 32501 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2011-09-23 | No data | No data |
| AMENDMENT AND NAME CHANGE | 1992-12-23 | MENTAL HEALTH ASSOCIATION OF WEST FLORIDA, INC. | No data |
| RESTATED ARTICLES | 1992-12-23 | No data | No data |
| Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
|---|---|---|---|---|---|---|---|
| J14000613553 | TERMINATED | 1000000616410 | ESCAMBIA | 2014-04-23 | 2024-05-09 | $ 884.51 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| J13000957044 | TERMINATED | 1000000502807 | ESCAMBIA | 2013-05-08 | 2023-05-22 | $ 935.99 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
| J12000684178 | TERMINATED | 1000000321263 | ESCAMBIA | 2012-10-11 | 2022-10-17 | $ 1,680.82 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, PENSACOLA SERVICE CENTER, 3670 N L ST STE C, PENSACOLA FL325055254 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
