Entity Name: | YOUNG PHILOSOPHERS SOCIETY, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Not For Profit Corporation |
Status: | Active |
Date Filed: | 16 May 2016 (9 years ago) |
Document Number: | N16000004997 |
FEI/EIN Number | 81-2686100 |
Mail Address: | PO BOX 259, SHALIMAR, FL 32579 |
Address: | 74 3rd Street, Shalimar, FL 32579 |
ZIP code: | 32579 |
County: | Okaloosa |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1255912812 | 2021-04-15 | 2023-05-02 | PO BOX 259, SHALIMAR, FL, 325790259, US | 417 RACETRACK RD NW STE C, FORT WALTON BEACH, FL, 325474612, US | |||||||||||||||||||
|
Phone | +1 251-605-1017 |
Authorized person
Name | JOCELYN THOMAS |
Role | BILLING/CREDENTIALING MANAGER |
Phone | 2012410079 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 020786000 |
State | FL |
Name | Role | Address |
---|---|---|
PITELL, LISA Y | Agent | 4591 E HIGHWAY 20 , SUITE 202E, NICEVILLE, FL 32578 |
Name | Role | Address |
---|---|---|
REID, KAREN M | President | PO BOX 259, SHALIMAR, FL 32579 |
Name | Role | Address |
---|---|---|
REID, SEAN C | Vice President | PO BOX 259, SHALIMAR, FL 32579 |
Name | Role | Address |
---|---|---|
BROWN, ASHLEY | Secretary | PO BOX 259, SHALIMAR, FL 32579 |
Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
---|---|---|---|---|---|---|
G19000072399 | LOTUS LEARNING & ARTS CENTER | EXPIRED | 2019-06-28 | 2024-12-31 | No data | 15 10TH AVE, SHALIMAR, FL, 32579 |
G17000066295 | LOTUS LEARNING AND ARTS CENTER | EXPIRED | 2017-06-15 | 2022-12-31 | No data | PO BOX 259, SHALIMAR, FL, 32579 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
CHANGE OF PRINCIPAL ADDRESS | 2021-06-06 | 74 3rd Street, Shalimar, FL 32579 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-13 |
ANNUAL REPORT | 2023-04-26 |
ANNUAL REPORT | 2022-02-09 |
ANNUAL REPORT | 2021-03-02 |
ANNUAL REPORT | 2020-07-19 |
ANNUAL REPORT | 2019-06-02 |
ANNUAL REPORT | 2018-08-27 |
ANNUAL REPORT | 2017-04-13 |
Domestic Non-Profit | 2016-05-16 |
Date of last update: 20 Jan 2025
Sources: Florida Department of State