| Entity Name: | ATLAS BEHAVIORAL HEALTH PA |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 14 Sep 2006 (18 years ago) |
| Document Number: | P06000118717 |
| FEI/EIN Number | 205544598 |
| Address: | 102 Fenimore Lane, PALM COAST, FL, 32137, US |
| Mail Address: | 102 Fenimore Lane, PALM COAST, FL, 32137, US |
| ZIP code: | 32137 |
| County: | Flagler |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740472174 | 2007-08-09 | 2013-11-18 | 50 LEANNI WAY UNIT B3, PALM COAST, FL, 321374754, US | 50 LEANNI WAY UNIT B3, PALM COAST, FL, 321374754, US | |||||||||||||||
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| Phone | +1 386-446-5494 |
| Fax | 3864471357 |
Authorized person
| Name | MRS. KATHLEEN VACCHELLI |
| Role | OWNER |
| Phone | 3864465494 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| VACCHELLI KATHLEEN A | Agent | 102 Fenimore Lane, PALM COAST, FL, 32137 |
| Name | Role | Address |
|---|---|---|
| VACCHELLI KATHLEEN A | President | 102 Fenimore Lane, PALM COAST, FL, 32137 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 102 Fenimore Lane, PALM COAST, FL 32137 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 102 Fenimore Lane, PALM COAST, FL 32137 | No data |
| CHANGE OF MAILING ADDRESS | 2018-03-10 | 102 Fenimore Lane, PALM COAST, FL 32137 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-21 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-21 |
| ANNUAL REPORT | 2021-03-23 |
| ANNUAL REPORT | 2020-06-25 |
| ANNUAL REPORT | 2019-07-12 |
| ANNUAL REPORT | 2018-03-10 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-29 |
| ANNUAL REPORT | 2015-04-20 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
