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WEST COAST BEHAVIORAL HEALTH, LLC

Company Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
GULECAS, JAMES FESQUIRE Agent 1968 BAYSHORE BOULEVARD, DUNEDIN, FL 34698

Manager

Name Role Address
ZIA, SHAZIA, Dr. Manager 5824 STATE ROAD 54, STE. 102, NEW PORT RICHEY, FL 34652

Events

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

Documents

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