| Entity Name: | SOUTHSIDE COUNSELING BIOFEEDBACK & STRESS MANAGEMENT CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 18 Jul 2002 (23 years ago) |
| Document Number: | P02000078209 |
| FEI/EIN Number | 900042238 |
| Address: | 7619 Plant Road, Jacksonville, FL, 32210, US |
| Mail Address: | 712 MUSKOGEE LANE, JACKSONVILLE, FL, 32259, US |
| ZIP code: | 32210 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760932529 | 2016-10-05 | 2016-10-05 | 4943 BEACH BLVD, JACKSONVILLE, FL, 322074802, US | 4943 BEACH BLVD, JACKSONVILLE, FL, 322074802, US | |||||||||||||||||
|
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| Phone | +1 904-396-9144 |
Authorized person
| Name | MRS. THERESA G. STANFORD |
| Role | CHIEF EXECUTIVE |
| Phone | 9043969144 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MH 1539 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| STANFORD THERESA G | Agent | 712 MUSKOGEE LANE, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| STANFORD THERESA G | President | 7619 PLANT ROAD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| STANFORD THERESA G | Treasurer | 7619 PLANT ROAD, JACKSONVILLE, FL, 32210 |
| Name | Role | Address |
|---|---|---|
| STANFORD THERESA G | Director | 7619 PLANT ROAD, JACKSONVILLE, FL, 32210 |
| STANFORD ROBERT J | Director | 712 MUSKOGEE LANE, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| STANFORD ROBERT J | Vice President | 712 MUSKOGEE LANE, JACKSONVILLE, FL, 32259 |
| Name | Role | Address |
|---|---|---|
| STANFORD ROBERT J | Secretary | 712 MUSKOGEE LANE, JACKSONVILLE, FL, 32259 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-09-13 | 7619 Plant Road, Jacksonville, FL 32210 | No data |
| CHANGE OF MAILING ADDRESS | 2009-04-17 | 7619 Plant Road, Jacksonville, FL 32210 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-08 |
| ANNUAL REPORT | 2023-09-13 |
| ANNUAL REPORT | 2022-04-13 |
| ANNUAL REPORT | 2021-04-09 |
| ANNUAL REPORT | 2020-04-24 |
| ANNUAL REPORT | 2019-04-28 |
| ANNUAL REPORT | 2018-04-27 |
| ANNUAL REPORT | 2017-07-05 |
| ANNUAL REPORT | 2016-04-30 |
| ANNUAL REPORT | 2015-04-29 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
