| Entity Name: | ADVOCACY BEHAVIORAL HEALTH INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Inactive |
| Date Filed: | 06 Sep 2007 (17 years ago) |
| Date of dissolution: | 25 Sep 2009 (15 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 25 Sep 2009 (15 years ago) |
| Document Number: | P07000099673 |
| FEI/EIN Number | 260852696 |
| Address: | 12 SOUTH BLVD. EAST, DAVENPORT, FL, 33837, US |
| Mail Address: | PO BOX 841, DAVENPORT, FL, 33836, US |
| ZIP code: | 33837 |
| County: | Polk |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184801920 | 2008-01-23 | 2008-01-23 | PO BOX 841, DAVENPORT, FL, 338360841, US | 12 SOUTH BLVD E, DAVENPORT, FL, 338370535, US | |||||||||||||||||||
|
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| Phone | +1 863-421-9545 |
| Fax | 7184259545 |
Authorized person
| Name | MARY JOHNSON |
| Role | PRESIDENT |
| Phone | 8634219545 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | ARNP1466102 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOHNSON JON A | Agent | 12 SOUTH BLVD. EAST, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| JOHNSON MARY R | President | 12 SOUTH BLVD. EAST, DAVENPORT, FL, 33837 |
| Name | Role | Address |
|---|---|---|
| JOHNSON JON A | Vice President | 12 SOUTH BLVD. EAST, DAVENPORT, FL, 33837 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2008-04-05 | 12 SOUTH BLVD. EAST, DAVENPORT, FL 33837 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2008-04-05 |
| Domestic Profit | 2007-09-06 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State
