| Entity Name: | BEACHES THERAPY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 20 Nov 2014 (10 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 30 Sep 2021 (3 years ago) |
| Document Number: | L14000180026 |
| FEI/EIN Number | 47-3031525 |
| Address: | 1552 Roberts Drive, JACKSONVILLE BEACH, FL 32250 |
| Mail Address: | 3552 SANCTUARY BLVD, JACKSONVILLE BEACH, FL 32250 UN |
| ZIP code: | 32250 |
| County: | Duval |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922471721 | 2015-11-03 | 2018-03-17 | 1552 ROBERTS DR, JACKSONVILLE BEACH, FL, 322503222, US | 1552 ROBERTS DR, JACKSONVILLE BEACH, FL, 322503222, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-729-2947 |
Authorized person
| Name | AUDREY ROACH-SLIVINSKI |
| Role | OWNER |
| Phone | 9047292947 |
Taxonomy
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| License Number | 11846 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | 11846 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | 11846 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| License Number | 11846 |
| State | FL |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEACHES THERAPY 401(K) PLAN | 2023 | 473031525 | 2024-05-14 | BEACHES THERAPY, LLC | 8 | |||||||||||||||||||||||||||||||
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| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2024-05-14 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 9042993420 |
| Plan sponsor’s address | 1552 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1412 CHAPIN AVENUE, BURLINGAME, CA, 94010 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2023-05-27 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 9042993420 |
| Plan sponsor’s address | 1552 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250 |
Plan administrator’s name and address
| Administrator’s EIN | 474474775 |
| Plan administrator’s name | GUIDELINE, INC. |
| Plan administrator’s address | 1645 E 6TH STREET, SUITE 200, AUSTIN, TX, 78702 |
| Administrator’s telephone number | 8882283491 |
Signature of
| Role | Plan administrator |
| Date | 2022-05-19 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| ROACH-SLIVINSKI, AUDREY L. | Agent | 3552 SANCTUARY BLVD, JACKSONVILLE BEACH, FL 32250 |
| Name | Role | Address |
|---|---|---|
| ROACH-SLIVINSKI, AUDREY L. | Authorized Person | 3552 SANCTUARY BLVD, JACKSONVILLE BEACH 32250 UN |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2024-04-25 | ROACH-SLIVINSKI, AUDREY L. | No data |
| REINSTATEMENT | 2021-09-30 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2021-09-24 | No data | No data |
| REINSTATEMENT | 2019-10-07 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-29 | 1552 Roberts Drive, JACKSONVILLE BEACH, FL 32250 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-25 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-03-02 |
| REINSTATEMENT | 2021-09-30 |
| ANNUAL REPORT | 2020-09-25 |
| REINSTATEMENT | 2019-10-07 |
| ANNUAL REPORT | 2018-03-25 |
| ANNUAL REPORT | 2017-03-15 |
| ANNUAL REPORT | 2016-04-29 |
| Florida Limited Liability | 2014-11-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1569677703 | 2020-05-01 | 0491 | PPP | 1552 ROBERTS DR, JACKSONVILLE BEACH, FL, 32250 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 20 Feb 2025
Sources: Florida Department of State
