| Entity Name: | BAYSIDE RECOVERY AND WELLNESS CENTER LLC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 29 Jul 2019 (6 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 18 Oct 2021 (3 years ago) |
| Document Number: | L19000193418 |
| FEI/EIN Number | 84-2747123 |
| Address: | 1501 Robert J Conlan Blvd, Palm Bay, FL, 32905, US |
| Mail Address: | 1501 Robert J Conlan Blvd, Palm Bay, FL, 32905, US |
| ZIP code: | 32905 |
| County: | Brevard |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134775976 | 2019-08-16 | 2021-12-13 | 1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL, 329053559, US | 1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL, 329053559, US | |||||||||||||||||||||||||||||||
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| Phone | +1 321-372-6897 |
| Fax | 3213726896 |
Authorized person
| Name | MORGAN O'SHAUGHNESSY |
| Role | CEO/CLINCIAL DIRECTOR |
| Phone | 3213726897 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR0400X - Rehabilitation Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| COOPER STANTON T | Agent | 1501 Robert J Conlan Blvd, Palm Bay, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| O'SHAUGHNESSY MORGAN | Manager | 1501 ROBERT J CONLAN BLVD, PALM BAY, FL, 32905 |
| Name | Role | Address |
|---|---|---|
| Cooper Stanton | Auth | 1501 Robert J Conlan Blvd Suite 7, Palm Bay, FL, 32905 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| LC AMENDMENT | 2021-10-18 | No data | No data |
| LC AMENDMENT | 2021-02-15 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2020-05-27 | 1501 Robert J Conlan Blvd, #7, Palm Bay, FL 32905 | No data |
| CHANGE OF MAILING ADDRESS | 2020-05-27 | 1501 Robert J Conlan Blvd, #7, Palm Bay, FL 32905 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2020-05-27 | 1501 Robert J Conlan Blvd, #7, Palm Bay, FL 32905 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-15 |
| ANNUAL REPORT | 2024-01-04 |
| ANNUAL REPORT | 2023-01-19 |
| AMENDED ANNUAL REPORT | 2022-12-06 |
| ANNUAL REPORT | 2022-02-10 |
| LC Amendment | 2021-10-18 |
| LC Amendment | 2021-02-15 |
| ANNUAL REPORT | 2021-02-10 |
| ANNUAL REPORT | 2020-05-27 |
| Florida Limited Liability | 2019-07-29 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
