| Entity Name: | TAMPA BAY AREA COUNSELING LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 26 Nov 2018 (6 years ago) |
| Document Number: | L18000272416 |
| FEI/EIN Number | 83-2678830 |
| Address: | 3607 ALT 19 N, Palm Harbor, FL, 34683, US |
| Mail Address: | 2868 Living Coral Dr, Odessa, FL, 33556, US |
| ZIP code: | 34683 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508409319 | 2019-10-24 | 2023-08-22 | 2868 LIVING CORAL DR, ODESSA, FL, 335565123, US | 16502 N DALE MABRY HWY, TAMPA, FL, 336181325, US | |||||||||||||||||||||
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| Phone | +1 813-601-0595 |
| Fax | 7274997888 |
| Phone | +1 727-732-4305 |
Authorized person
| Name | DR. CHARISSE DIAZ |
| Role | CEO |
| Phone | 8136010595 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TAMPA BAY AREA COUNSELING, LLC 401(K) PLAN | 2023 | 832678830 | 2024-05-14 | TAMPA BAY AREA COUNSELING, LLC | 14 | |||||||||||||||||||||||||||||||
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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 | 2020-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 8136010595 |
| Plan sponsor’s address | 1787 S. PINELLAS AVE, UNIT 400, TARPON SPRINGS, FL, 34689 |
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 | 2020-01-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 8136010595 |
| Plan sponsor’s address | 1787 S. PINELLAS AVE, UNIT 400, TARPON SPRINGS, FL, 34689 |
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 | 2022-06-01 |
| Name of individual signing | CHRISTINE RIMER |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DIAZ CHARISSE R | Agent | 2868 Living Coral Dr, Odessa, FL, 33556 |
| Name | Role | Address |
|---|---|---|
| DIAZ ROSA EMANUEL | Manager | 2868 Living Coral Drive, Odessa, FL, 33556 |
| DIAZ CHARISSE R | Manager | 2868 Living Coral Dr, Odess, FL, 33556 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G24000081909 | TBAC GROUP | ACTIVE | 2024-07-09 | 2029-12-31 | No data | 2868 LIVING CORAL DR, ODESSA, FL, 33556 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-02-29 | 3607 ALT 19 N, Palm Harbor, FL 34683 | No data |
| CHANGE OF MAILING ADDRESS | 2024-02-29 | 3607 ALT 19 N, Palm Harbor, FL 34683 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-02-29 | 2868 Living Coral Dr, Odessa, FL 33556 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-29 |
| ANNUAL REPORT | 2023-03-23 |
| ANNUAL REPORT | 2022-02-10 |
| ANNUAL REPORT | 2021-03-10 |
| ANNUAL REPORT | 2020-02-24 |
| ANNUAL REPORT | 2019-03-31 |
| Florida Limited Liability | 2018-11-26 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
