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SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC.

Company Details

Entity Name: SUBSTANCE ABUSE COUNCIL OF INDIAN RIVER COUNTY, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Non-Profit
Status: Active
Date Filed: 14 Jun 1990 (35 years ago)
Document Number: N38659
FEI/EIN Number 650202835
Address: 1507 20TH STREET, VERO BEACH, FL, 32960, US
Mail Address: 1507 20TH STREET, VERO BEACH, FL, 32960, US
ZIP code: 32960
County: Indian River
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942457122 2008-08-19 2022-03-03 1151 19TH ST, VERO BEACH, FL, 329603520, US 1507 20TH ST, VERO BEACH, FL, 329603563, US

Contacts

Phone +1 772-770-4811
Fax 7727704822

Authorized person

Name JENEL HERNANDEZ
Role EXECUTIVE DIRECTOR
Phone 7727704811

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
License Number 1931AD283500
State FL
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes
Taxonomy Code 251V00000X - Voluntary or Charitable Agency
Is Primary No

Agent

Name Role Address
Peshke Jennifer Agent 700 20th Street, VERO BEACH, FL, 32960

Secretary

Name Role Address
Menz Nicole Secretary 1507 20TH STREET, VERO BEACH, FL, 32960

Exec

Name Role Address
Lester Carrie Chief Exec 1507 20th St, Vero Beach, FL, 32960

Vice President

Name Role Address
Posey Anne Vice President 1507 20TH STREET, VERO BEACH, FL, 32960

Chairman

Name Role Address
Currey Dave Chief Chairman 1507 20TH STREET, VERO BEACH, FL, 32960

Treasurer

Name Role Address
Perry Theo Treasurer 1507 20TH STREET, VERO BEACH, FL, 32960

Fictitious Names

Registration Number Fictitious Name Status Filed Date Expiration Date Cancellation Date Mailing Address
G24000144516 THRIVE COALITION ACTIVE 2024-11-27 2029-12-31 No data 1507 20TH STREET, VERO BEACH, FL, 32960
G24000144212 SUBSTANCE ABUSE COUNCIL IRC ACTIVE 2024-11-26 2029-12-31 No data 1507 20TH STREET, VERO BEACH, FL, 32960
G24000114876 THRIVE IRC ACTIVE 2024-09-13 2029-12-31 No data 1507 20TH STREET, VERO BEACH, FL, 32960
G12000074018 SUBSTANCE AWARENESS CENTER OF INDIAN RIVER COUNTY ACTIVE 2012-07-25 2027-12-31 No data 1507 20TH STREET, VERO BEACH, FL, 32960

Events

Event Type Filed Date Value Description
NAME CHANGE AMENDMENT 2024-11-25 THRIVE IRC, INC No data
AMENDMENT 1991-02-21 No data No data

Date of last update: 03 Jan 2025

Sources: Florida Department of State