| Entity Name: | CLARITY BEHAVIORAL HEALTH INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 17 Mar 2017 (8 years ago) |
| Last Event: | AMENDMENT |
| Event Date Filed: | 13 Jan 2020 (5 years ago) |
| Document Number: | P17000025270 |
| FEI/EIN Number | 82-0936789 |
| Address: | 475 OSCEOLA ST,, SUITE 1200, ALTAMONTE SPRINGS, FL 32701 |
| Mail Address: | 475 OSCEOLA ST,, SUITE 1200, ALTAMONTE SPRINGS, FL 32701 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992378897 | 2021-07-20 | 2021-07-20 | 106 PINEAPPLE LN, ALTAMONTE SPRINGS, FL, 327145812, US | 475 OSCEOLA ST STE 1200, ALTAMONTE SPG, FL, 327017857, US | |||||||||||||||||||||||
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| Phone | +1 352-789-1809 |
| Fax | 4073868099 |
| Phone | +1 407-755-6300 |
Authorized person
| Name | KRISTINA HAINES |
| Role | CEO |
| Phone | 3527891809 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 021233000 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| BUSH, PATRICIA | Agent | 106 PINEAPPLE LANE, ALTAMONTE SPRINGS, FL 32714 |
| Name | Role | Address |
|---|---|---|
| HAINES, KRISTINA | President | 106 PINEAPPLE LANE, ALTAMONTE SPRINGS, FL 32714 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G23000089577 | CLARITY BEHAVIORAL HEALTH | ACTIVE | 2023-07-31 | 2028-12-31 | No data | 475 OSCEOLA ST., SUITE 1200, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| AMENDMENT | 2020-01-13 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2019-05-15 | 475 OSCEOLA ST,, SUITE 1200, ALTAMONTE SPRINGS, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2019-05-15 | 475 OSCEOLA ST,, SUITE 1200, ALTAMONTE SPRINGS, FL 32701 | No data |
| AMENDMENT | 2017-05-26 | No data | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-22 |
| ANNUAL REPORT | 2023-02-14 |
| ANNUAL REPORT | 2022-02-19 |
| ANNUAL REPORT | 2021-03-15 |
| Reg. Agent Change | 2020-07-27 |
| ANNUAL REPORT | 2020-02-18 |
| Amendment | 2020-01-13 |
| ANNUAL REPORT | 2019-02-11 |
| ANNUAL REPORT | 2018-03-15 |
| Amendment | 2017-05-26 |
Date of last update: 19 Jan 2025
Sources: Florida Department of State
