| Entity Name: | NORTHEAST FLORIDA EQUESTRIAN SOCIETY/H.O.R.S.E. THERAPIES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 28 Sep 2001 (23 years ago) |
| Document Number: | N01000006893 |
| FEI/EIN Number | 010636438 |
| Address: | 13611 NORMANDY BLVD., JACKSONVILLE, FL, 32221, US |
| Mail Address: | 13611 NORMANDY BLVD., JACKSONVILLE, FL, 32221, US |
| ZIP code: | 32221 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780327635 | 2022-04-19 | 2022-07-06 | 13611 NORMANDY BLVD, JACKSONVILLE, FL, 322212409, US | 13611 NORMANDY BLVD, JACKSONVILLE, FL, 322212409, US | |||||||||||||||||||||||||
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| Phone | +1 904-576-7491 |
Authorized person
| Name | SAMANTHA SYKES |
| Role | PROGRAM DIRECTOR |
| Phone | 9045767491 |
Taxonomy
| Taxonomy Code | 103TM1800X - Intellectual & Developmental Disabilities Psychologist |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 261QD1600X - Developmental Disabilities Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| Connell Joanne | Agent | 734 Wren Rd, JACKSONVILLE, FL, 32216 |
| Name | Role | Address |
|---|---|---|
| Stanley Paul | Director | P.O. Box 1935, Callahan, FL, 32011 |
| SMITH ERIC | Director | 200 East Forsyth St, JACKSONVILLE, FL, 32202 |
| CONNELL JOANNE | Director | 13611 NORMANDY BLVD., JACKSONVILLE, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| LaRose Carolyn | Vice Chairman | 3105 CR 121, Baldwin, FL, 32234 |
| Name | Role | Address |
|---|---|---|
| FULLER-Kalb Margaret ADr. | Chairman | 3230 LORETTO ROAD, JACKSONVILLE, FL, 32223 |
| Name | Role | Address |
|---|---|---|
| Miller Jennifer | Secretary | 8526 Argyle Forest Blvd, JACKSONVILLE, FL, 32244 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| NAME CHANGE AMENDMENT | 2010-08-03 | NORTHEAST FLORIDA EQUESTRIAN SOCIETY/H.O.R.S.E. THERAPIES, INC. | No data |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
