| Entity Name: | SUNCOAST BEHAVIORAL SOLUTIONS, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 08 Aug 2017 (8 years ago) |
| Document Number: | L17000169061 |
| FEI/EIN Number | 82-2399474 |
| Address: | 461 Plaza Drive Suite C, Dunedin, FL, 34698, US |
| Mail Address: | 461 Plaza Drive Suite C, Dunedin, FL, 34698, US |
| ZIP code: | 34698 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396260618 | 2017-08-08 | 2024-10-20 | PO BOX 21, PALM HARBOR, FL, 346820021, US | 461 PLAZA DR STE C, DUNEDIN, FL, 346987968, US | |||||||||||||||||||||
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| Phone | +1 727-207-0508 |
| Fax | 7175122926 |
Authorized person
| Name | KATE SPANGLER |
| Role | OWNER |
| Phone | 7272070508 |
Taxonomy
| Taxonomy Code | 103K00000X - Behavior Analyst |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 022020700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| SPANGLER KATE L | Agent | 250 WOODETTE DRIVE APT A, DUNEDIN, FL, 34698 |
| Name | Role | Address |
|---|---|---|
| SPANGLER KATE L | Authorized Member | 250 WOODETTE DRIVE APT A, DUNEDIN, FL, 34698 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-15 | 461 Plaza Drive Suite C, Dunedin, FL 34698 | No data |
| CHANGE OF MAILING ADDRESS | 2023-05-15 | 461 Plaza Drive Suite C, Dunedin, FL 34698 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-03-20 | 250 WOODETTE DRIVE APT A, DUNEDIN, FL 34698 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-27 |
| ANNUAL REPORT | 2023-02-21 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-17 |
| ANNUAL REPORT | 2020-03-20 |
| ANNUAL REPORT | 2019-01-09 |
| ANNUAL REPORT | 2018-03-05 |
| Florida Limited Liability | 2017-08-08 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
