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Teen Challenge of Florida Inc

Branch

Company Details

Name: Teen Challenge of Florida Inc
Legal type: Foreign Corporation
Status: Active
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 29 Sep 2016 (9 years ago)
Organization Date: 01 Jan 1985 (40 years ago)
Authority Date: 29 Sep 2016 (9 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Branch of: Teen Challenge of Florida Inc, FLORIDA (Company Number N06240)
Organization Number: 0964179
Industry: Social Services
Number of Employees: Medium (20-99)
Principal Office: 15 W 10th St, Columbus, GA 31901
Place of Formation: FLORIDA

Director

Name Role
Jay Ault Director
William Turner, III Director
Stephen Butler Director
Brice Maddock Director
Jerry Nance Director
Lee Lee James Director
Scott Nelson Director
Phil Edwards Director

Registered Agent

Name Role
Teen Challenge of Florida Inc Registered Agent

Officer

Name Role
Brice Maddock Officer
Martin Tate Officer

National Provider Identifier

NPI Number:
1366486680
Certification Date:
2021-01-07

Authorized Person:

Name:
MR. BRICE MADDOCK
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

Fax:
7065968732

Assumed Names

Name Status Expiration Date
Teen Challenge of Florida Inc Active -

Filings

Name File Date
Annual Report 2024-06-25
Annual Report 2023-06-29
Annual Report 2022-03-14
Annual Report 2021-03-16
Annual Report 2020-02-14

Sources: Kentucky Secretary of State