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COASTAL BEHAVIORAL HEALTH, LLC

Company Details

Entity Name: COASTAL BEHAVIORAL HEALTH, LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Company
Status: Active
Date Filed: 05 Aug 2015 (10 years ago)
Last Event: REINSTATEMENT
Event Date Filed: 13 Jan 2017 (8 years ago)
Document Number: L15000132236
FEI/EIN Number 38-3977122
Address: 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305
Mail Address: 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305
ZIP code: 33305
County: Broward
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184095762 2015-10-08 2018-09-10 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 333051431, US 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 333051431, US

Contacts

Phone +1 954-271-3397
Fax 9549473028

Authorized person

Name TONI RICHARDI
Role OWNER
Phone 9542713397

Taxonomy

Taxonomy Code 103T00000X - Psychologist
License Number PY 9346
State FL
Is Primary Yes

Agent

Name Role Address
RICHARDI, TONI Agent 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305

Manager

Name Role Address
RICHARDI, TONI Manager 1650 NE 26TH ST,, SUITE 201 WILTON MANORS, FL 33305

Events

Event Type Filed Date Value Description
REGISTERED AGENT ADDRESS CHANGED 2018-01-15 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305 No data
CHANGE OF PRINCIPAL ADDRESS 2017-11-08 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305 No data
CHANGE OF MAILING ADDRESS 2017-11-08 1650 NE 26TH ST,, SUITE 201, WILTON MANORS, FL 33305 No data
REINSTATEMENT 2017-01-13 No data No data
REGISTERED AGENT NAME CHANGED 2017-01-13 RICHARDI, TONI No data
ADMIN DISSOLUTION FOR ANNUAL REPORT 2016-09-23 No data No data

Documents

Name Date
ANNUAL REPORT 2024-04-10
ANNUAL REPORT 2023-07-13
ANNUAL REPORT 2022-01-22
ANNUAL REPORT 2021-04-09
ANNUAL REPORT 2020-03-05
ANNUAL REPORT 2019-01-24
ANNUAL REPORT 2018-01-15
REINSTATEMENT 2017-01-13
Florida Limited Liability 2015-08-05

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
5765207708 2020-05-01 0455 PPP 1650 NE 26TH ST STE 201, WILTON MANORS, FL, 33305-1431
Loan Status Date 2021-07-23
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 1610
Loan Approval Amount (current) 1610
Undisbursed Amount 0
Franchise Name -
Lender Location ID 9551
Servicing Lender Name Bank of America, National Association
Servicing Lender Address 100 N Tryon St, Ste 170, CHARLOTTE, NC, 28202-4024
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description New Business or 2 years or less
Project Address WILTON MANORS, BROWARD, FL, 33305-1431
Project Congressional District FL-23
Number of Employees 1
NAICS code 621999
Borrower Race Unanswered
Borrower Ethnicity Unknown/NotStated
Business Type Sole Proprietorship
Originating Lender ID 9551
Originating Lender Name Bank of America, National Association
Originating Lender Address CHARLOTTE, NC
Gender Unanswered
Veteran Unanswered
Forgiveness Amount 1624.69
Forgiveness Paid Date 2021-03-31

Date of last update: 19 Feb 2025

Sources: Florida Department of State