| Entity Name: | HARBOR BEHAVIORAL HEALTH, CORP. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Not For Profit Corporation |
| Status: | Inactive |
| Date Filed: | 06 May 2019 (6 years ago) |
| Date of dissolution: | 04 May 2021 (4 years ago) |
| Last Event: | WITHDRAWAL |
| Event Date Filed: | 04 May 2021 (4 years ago) |
| Document Number: | F19000002176 |
| FEI/EIN Number | 84-2352700 |
| Address: | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Mail Address: | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Place of Formation: | OHIO |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033761713 | 2019-07-12 | 2019-07-16 | 6629 W CENTRAL AVE, TOLEDO, OH, 436171098, US | 1700 50TH ST N, ST PETERSBURG, FL, 337105236, US | |||||||||||||||
|
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| Phone | +1 419-720-8571 |
| Phone | +1 419-720-6101 |
Authorized person
| Name | TERRIE FREEMAN |
| Role | CREDENTIALING COORDINATOR |
| Phone | 4197208571 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHEEHAN, JOHN M | Agent | 1700 50TH STREET NORTH, ST. PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| SHEEHAN, JOHN M | President | 1700 50TH STREET NORTH, ST. PETERSBURG, FL 33710 |
| Name | Role | Address |
|---|---|---|
| ALBRIGHT, KAREN | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| KNAPE, JAN | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| LENNEX, STEVEN | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| MATTHEWS, FRED | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| MONTELEONE, DON | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| WATKINS, DUSTIN | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Jordan, Rosie | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Pinchback-Hines, Cynthia | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Vickers, Janell | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Young, Bernard | Director | 6629 WEST CENTRAL AVENUE, TOLEDO, OH 43617 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| WITHDRAWAL | 2021-05-04 | No data | No data |
| Name | Date |
|---|---|
| WITHDRAWAL | 2021-05-04 |
| ANNUAL REPORT | 2020-01-23 |
| Foreign Non-Profit | 2019-05-06 |
Date of last update: 17 Jan 2025
Sources: Florida Department of State
