| Entity Name: | BEACHWAY BEHAVIORAL HEALTH, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Inactive |
| Date Filed: | 09 Feb 2018 (7 years ago) |
| Date of dissolution: | 27 Sep 2019 (5 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 27 Sep 2019 (5 years ago) |
| Document Number: | L18000036072 |
| Address: | 1613 NE 3RD AVENUE, DELRAY BEACH, FL 33444 |
| Mail Address: | 1613 NE 3RD AVENUE, DELRAY BEACH, FL 33444 |
| ZIP code: | 33444 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942701123 | 2018-02-23 | 2018-02-23 | 2600 QUANTUM BLVD, BOYNTON BEACH, FL, 334268627, US | 2901 BROADWAY, WEST PALM BEACH, FL, 334075131, US | |||||||||||||
|
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| Phone | +1 561-990-5340 |
Authorized person
| Name | JUDITH VICTOR |
| Role | BILLING MANAGER |
| Phone | 5614049829 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EGAN, PAMELA | Agent | 2600 QUANTUM BLVD, BOYNTON BEACH, FL 33426 |
| Name | Role | Address |
|---|---|---|
| HOLMES, DENIS | Manager | 2600 QUANTUM BLVD, BOYNTON BEACH, FL 33426 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2019-09-27 | No data | No data |
| Name | Date |
|---|---|
| Florida Limited Liability | 2018-02-09 |
Date of last update: 18 Jan 2025
Sources: Florida Department of State
