| Entity Name: | PALM HARBOR FAMILY COUNSELING CENTER INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 17 Mar 2010 (15 years ago) |
| Document Number: | P10000024125 |
| FEI/EIN Number | 341769009 |
| Address: | 2993 W Vina Del Mar Blvd, St Pete Beach, FL, 33706, US |
| Mail Address: | 2993 W Vina Del Mar Blvd, St Pete Beach, FL, 33706, US |
| ZIP code: | 33706 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255734935 | 2014-10-08 | 2014-10-08 | 350 ALTERNATE 19, SUITE C, PALM HARBOR, FL, 34683, US | 700 VILLAGE WAY, PALM HARBOR, FL, 346832935, US | |||||||||||||||||
|
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| Phone | +1 727-254-9183 |
Authorized person
| Name | MS. DIANE J MANDELL |
| Role | OWNER |
| Phone | 7272549183 |
Taxonomy
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | SW11944 |
| State | FL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| TEN KEY, LLC | Agent |
| Name | Role | Address |
|---|---|---|
| MANDELL DIANE | President | 2993 W Vina Del Mar Blvd, St Pete Beach, FL, 33706 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-02 | Ten Key LLC | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-02 | 10801 Starkey Rd, Ste 104-401, Seminole, FL 33777 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-06-12 | 2993 W Vina Del Mar Blvd, St Pete Beach, FL 33706 | No data |
| CHANGE OF MAILING ADDRESS | 2019-04-01 | 2993 W Vina Del Mar Blvd, St Pete Beach, FL 33706 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-02 |
| ANNUAL REPORT | 2023-03-06 |
| ANNUAL REPORT | 2022-03-09 |
| ANNUAL REPORT | 2021-02-09 |
| ANNUAL REPORT | 2020-06-12 |
| ANNUAL REPORT | 2019-04-01 |
| ANNUAL REPORT | 2018-02-27 |
| ANNUAL REPORT | 2017-01-18 |
| ANNUAL REPORT | 2016-01-29 |
| ANNUAL REPORT | 2015-01-31 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
