| Entity Name: | SAFE HARBOR HAVEN, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 19 Jun 1984 (41 years ago) |
| Document Number: | N03769 |
| FEI/EIN Number | 592515634 |
| Address: | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226, US |
| Mail Address: | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226, US |
| ZIP code: | 32226 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1578807400 | 2012-11-15 | 2012-11-15 | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 322264024, US | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 322264024, US | |||||||||||||||||||
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| Phone | +1 904-757-7918 |
| Fax | 9047572504 |
Authorized person
| Name | MRS. ROBBIE SMITH |
| Role | CLINICAL DIRECTOR |
| Phone | 9047577918 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH5256 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| ROWE AND ROWE, P.A. | Agent |
| Name | Role | Address |
|---|---|---|
| SMITH ROBBIE | President | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226 |
| Name | Role | Address |
|---|---|---|
| SMITH DOUGLAS | Vice President | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226 |
| Name | Role | Address |
|---|---|---|
| Hyatt Charles | DCOB | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G97118000250 | SAFE HARBOR | ACTIVE | 1997-04-28 | 2027-12-31 | No data | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226 |
| G97118000251 | SAFE HARBOR BOY'S HOME | ACTIVE | 1997-04-28 | 2027-12-31 | No data | 4772 SAFE HARBOR WAY, JACKSONVILLE, FL, 32226 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CANCEL ADM DISS/REV | 2005-01-18 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2004-10-01 | No data | No data |
| AMENDMENT | 1985-05-14 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
