Entity Name: | BEHAVIORAL HEALTH OF SOUTH TAMPA, INC. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 09 Oct 2018 (6 years ago) |
Document Number: | P18000084880 |
FEI/EIN Number | 83-2257818 |
Address: | 506 NORTH ARMENIA AVE, TAMPA, FL, 33609, US |
Mail Address: | 506 NORTH ARMENIA AVE, TAMPA, FL, 33609, US |
ZIP code: | 33609 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1790253508 | 2018-11-09 | 2018-11-09 | 902 N ARMENIA AVE, TAMPA, FL, 336091707, US | 902 N ARMENIA AVE, TAMPA, FL, 336091707, US | |||||||||||||||
|
Phone | +1 813-758-3754 |
Fax | 8138792610 |
Authorized person
Name | DR. JENNIFER BARROR-LEVINE |
Role | OWNER/CLINICAL PSYCHOLOGIST |
Phone | 8137583754 |
Taxonomy
Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BARROR DARLENE C | Agent | 506 NORTH ARMENIA AVE, TAMPA, FL, 33609 |
Name | Role | Address |
---|---|---|
BARROR-LEVINE JENNIFER | President | 506 N. ARMENIA AVE., TAMPA, FL, 33609 |
Name | Date |
---|---|
ANNUAL REPORT | 2024-02-10 |
ANNUAL REPORT | 2023-03-19 |
ANNUAL REPORT | 2022-02-13 |
ANNUAL REPORT | 2021-04-07 |
ANNUAL REPORT | 2020-03-26 |
ANNUAL REPORT | 2019-04-02 |
Domestic Profit | 2018-10-09 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State