| Entity Name: | MASINO MENTAL HEALTH SERVICES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 21 Oct 2013 (11 years ago) |
| Document Number: | N13000009558 |
| FEI/EIN Number | 46-3886392 |
| Address: | 1008 AIRPORT ROAD, SUITE D, DESTIN, FL, 32541 |
| Mail Address: | 1008 AIRPORT ROAD, SUITE D, DESTIN, FL, 32541 |
| ZIP code: | 32541 |
| County: | Okaloosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700214228 | 2013-10-18 | 2013-10-18 | 1008 AIRPORT RD, STE D, DESTIN, FL, 325412823, US | 1008 AIRPORT RD, STE D, DESTIN, FL, 325412823, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 850-424-5210 |
| Fax | 8504243220 |
Authorized person
| Name | DR. THEODORE P MASINO II |
| Role | OWNER |
| Phone | 8504245210 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6920 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MASINO THEODORE OWNER | Agent | 1008 AIRPORT ROAD, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| MASINO THEODORE | Owne | 1008 AIRPORT ROAD, DESTIN, FL, 32541 |
| Name | Role | Address |
|---|---|---|
| Summers Masino Kimberly | Manager | 1008 Airport Rd, Destin, FL, 32541 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-03 | MASINO, THEODORE, OWNER | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2022-03-07 | 1008 AIRPORT ROAD, SUITE D, DESTIN, FL 32541 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-12 |
| ANNUAL REPORT | 2020-06-07 |
| ANNUAL REPORT | 2019-07-15 |
| ANNUAL REPORT | 2018-04-28 |
| ANNUAL REPORT | 2017-03-16 |
| ANNUAL REPORT | 2016-04-29 |
| ANNUAL REPORT | 2015-04-22 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
