Entity Name: | WEST COAST BEHAVIORAL HEALTH, LLC |
Jurisdiction: | FLORIDA |
Filing Type: | Florida Limited Liability Company |
Status: | Active |
Date Filed: | 13 Oct 2005 (19 years ago) |
Last Event: | REINSTATEMENT |
Event Date Filed: | 07 Jan 2015 (10 years ago) |
Document Number: | L05000101412 |
FEI/EIN Number | 20-3624375 |
Address: | 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652 |
Mail Address: | 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652 |
ZIP code: | 34652 |
County: | Pasco |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1861448151 | 2006-05-26 | 2015-06-19 | 5824 STATE ROAD 54, SUITE 102, NEW PORT RICHEY, FL, 346526002, US | 5824 STATE ROAD 54, SUITE 102, NEW PORT RICHEY, FL, 346526002, US | |||||||||||||||||||
|
Phone | +1 727-847-7474 |
Fax | 7278471877 |
Authorized person
Name | DR. SHAZIA ZIA |
Role | PRESIDENT |
Phone | 7278477474 |
Taxonomy
Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
License Number | ME 91063 |
State | FL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
GULECAS, JAMES FESQUIRE | Agent | 1968 BAYSHORE BOULEVARD, DUNEDIN, FL 34698 |
Name | Role | Address |
---|---|---|
ZIA, SHAZIA, Dr. | Manager | 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652 |
Event Type | Filed Date | Value | Description |
---|---|---|---|
REINSTATEMENT | 2015-01-07 | No data | No data |
REGISTERED AGENT NAME CHANGED | 2015-01-07 | GULECAS, JAMES FESQUIRE | No data |
PENDING REINSTATEMENT | 2014-12-15 | No data | No data |
ADMIN DISSOLUTION FOR ANNUAL REPORT | 2012-09-28 | No data | No data |
CHANGE OF PRINCIPAL ADDRESS | 2011-06-06 | 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652 | No data |
CHANGE OF MAILING ADDRESS | 2011-06-06 | 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652 | No data |
Name | Date |
---|---|
ANNUAL REPORT | 2025-01-02 |
ANNUAL REPORT | 2024-01-20 |
ANNUAL REPORT | 2023-01-27 |
ANNUAL REPORT | 2022-01-11 |
ANNUAL REPORT | 2021-01-11 |
ANNUAL REPORT | 2020-01-28 |
ANNUAL REPORT | 2019-01-29 |
ANNUAL REPORT | 2018-01-15 |
ANNUAL REPORT | 2017-01-11 |
ANNUAL REPORT | 2016-02-05 |
Date of last update: 28 Jan 2025
Sources: Florida Department of State