| Entity Name: | STARTING POINTE RECOVERY INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 10 Jan 2024 (a year ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 02 May 2024 (9 months ago) |
| Document Number: | N24000000517 |
| Address: | 201 4TH AVENUE EAST, SUITE 2, BRADENTON, FL 34208 |
| Mail Address: | 201 4TH AVENUE EAST, SUITE 2, BRADENTON, FL 34208 |
| ZIP code: | 34208 |
| County: | Manatee |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306609854 | 2024-02-06 | 2024-09-11 | 201 4TH AVE E STE 2, BRADENTON, FL, 342081043, US | 201 4TH AVE E STE 2, BRADENTON, FL, 342081043, US | |||||||||||||||||||||||||||||
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| Phone | +1 941-226-0018 |
| Fax | 9412604872 |
Authorized person
| Name | MRS. TINA MARIE JACKSON |
| Role | PRESIDENT/CEO |
| Phone | 5174106164 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 2083A0300X - Addiction Medicine (Preventive Medicine) Physician |
| Is Primary | Yes |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 122264900 |
| State | FL |
| Name | Role |
|---|---|
| LEGALCORP SOLUTIONS, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| JACKSON, WILLIAM | Director | 3602 89TH STREET EAST, PALMETTO, FL 34221 |
| STROTT, BRITTANY | Director | 3602 89TH STREET EAST, PALMETTO, FL 34221 |
| HOWE, JANNIE | Director | 3602 89TH STREET EAST, PALMETTO, FL 34221 |
| JACKSON, TINA | Director | 201 4TH AVENUE EAST, SUITE 2, SUITE 2, BRADENTON, FL 34208 |
| Name | Role | Address |
|---|---|---|
| JACKSON, TINA | President | 201 4TH AVENUE EAST, SUITE 2, SUITE 2, BRADENTON, FL 34208 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2024-05-02 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2024-05-02 | 201 4TH AVENUE EAST, SUITE 2, BRADENTON, FL 34208 | No data |
| CHANGE OF MAILING ADDRESS | 2024-05-02 | 201 4TH AVENUE EAST, SUITE 2, BRADENTON, FL 34208 | No data |
| AMENDMENT | 2024-02-14 | No data | No data |
| Name | Date |
|---|---|
| Amendment | 2024-05-02 |
| Amendment | 2024-02-14 |
| Domestic Non-Profit | 2024-01-10 |
Date of last update: 08 Jan 2025
Sources: Florida Department of State
