| Entity Name: | PROSOCIAL BEHAVIORAL HEALTH INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Active |
| Date Filed: | 25 Apr 2022 (3 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 24 May 2022 (3 years ago) |
| Document Number: | N22000004712 |
| FEI/EIN Number | 88-2361079 |
| Address: | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE, FL, 32221 |
| Mail Address: | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE, FL, 32221 |
| ZIP code: | 32221 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174214365 | 2023-05-17 | 2024-10-24 | 1216 SUMMIT OAKS DR W, JACKSONVILLE, FL, 322213236, US | 1216 SUMMIT OAKS DR W, JACKSONVILLE, FL, 322213236, US | |||||||||||||
|
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| Phone | +1 904-673-0684 |
Authorized person
| Name | MR. ANDREW SHERWIN GEORGE |
| Role | PRESIDENT & CEO |
| Phone | 9046730684 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GEORGE ANDREW SJR | Agent | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| JOHNSON REGINALD A | Vice President | 1465 TROPICAL PINE COVE, MIDDLEBURG, FL, 32068 |
| MERKISON JASON | Vice President | 1185 MILL CREEK, SAINT JOHNS,, FL, 32259 |
| BANNISTER ANDRIA S | Vice President | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE,, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| GEORGE ANDREW S | President | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE, FL, 32221 |
| Name | Role | Address |
|---|---|---|
| GEORGE ANDREW S | Chairman | 1216 SUMMIT OAKS DRIVE WEST, JACKSONVILLE, FL, 32221 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2022-05-24 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-30 |
| ANNUAL REPORT | 2023-05-01 |
| Amendment | 2022-05-24 |
| Domestic Non-Profit | 2022-04-25 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
