| Entity Name: | COASTAL NEUROPSYCHOLOGY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 21 Mar 2016 (9 years ago) |
| Document Number: | L16000056543 |
| FEI/EIN Number | 81-1933922 |
| Address: | 3000 Gulf to Bay Blvd, STE 300, CLEARWATER, FL, 33759, US |
| Mail Address: | PO Box 8, Terra Ceia, FL, 34250, US |
| ZIP code: | 33759 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1871956805 | 2016-03-29 | 2022-07-05 | PO BOX 8, TERRA CEIA, FL, 342500008, US | 3000 GULF TO BAY BLVD STE 300, CLEARWATER, FL, 337594304, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 800-687-1938 |
| Fax | 7274957233 |
Authorized person
| Name | DR. STEFANIE COPPES |
| Role | OWNER |
| Phone | 8006871938 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC1900X - Counseling Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TE1100X - Exercise & Sports Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TM1800X - Intellectual & Developmental Disabilities Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TS0200X - School Psychologist |
| License Number | PY8604 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COPPES STEFANIE | Agent | 3000 Gulf to Bay Blvd, CLEARWATER, FL, 33759 |
| Name | Role | Address |
|---|---|---|
| COPPES STEFANIE | Authorized Member | 3000 Gulf to Bay Blvd, CLEARWATER, FL, 33759 |
| COPPES CHAD | Authorized Member | 3000 Gulf to Bay Blvd, CLEARWATER, FL, 33759 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-01-27 | 3000 Gulf to Bay Blvd, STE 300, CLEARWATER, FL 33759 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-01-27 | COPPES, STEFANIE | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-01-27 | 3000 Gulf to Bay Blvd, Ste 300, CLEARWATER, FL 33759 | No data |
| CHANGE OF MAILING ADDRESS | 2021-03-17 | 3000 Gulf to Bay Blvd, STE 300, CLEARWATER, FL 33759 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-01-27 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-03-07 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-19 |
| ANNUAL REPORT | 2019-02-14 |
| ANNUAL REPORT | 2018-03-04 |
| ANNUAL REPORT | 2017-01-24 |
| Florida Limited Liability | 2016-03-21 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
