| Entity Name: | AMELIA BEHAVIORAL WELLNESS LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
AMELIA BEHAVIORAL WELLNESS LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 03 Feb 2020 (5 years ago) |
| Document Number: | L20000040440 |
| FEI/EIN Number |
84-4704422
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1896 SOUTH 14TH STREET, 6, FERNANDINA BEACH, FL, 32034, US |
| Mail Address: | 2117 JEKYLL CT, FERNANDINA BEACH, FL, 32034 |
| ZIP code: | 32034 |
| County: | Nassau |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1053944330 | 2020-02-14 | 2022-05-17 | 2117 JEKYLL CT, FERNANDINA BEACH, FL, 320344403, US | 1890 S 14TH ST STE 140, FERNANDINA BEACH, FL, 320344718, US | |||||||||||||
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| Phone | +1 205-370-1832 |
Authorized person
| Name | DR. PATRICIA BARRETO |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 2053701832 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AMELIA BEHAVIORAL WELLNESS LLC 401(K) PLAN | 2023 | 844704422 | 2024-05-28 | AMELIA BEHAVIORAL WELLNESS LLC | 3 | |||||||||||||||||||||||||||||||
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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 | 2024-05-28 |
| Name of individual signing | QIAN LIU |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| BARRETO PATRICIA | Manager | 2117 JEKYLL CT, FERNANDINA BEACH, FL, 32034 |
| Matricia Elizabeth | Manager | 95062 Timberlake Drive, Fernandina Beach, FL, 32034 |
| BARRETO PATRICIA | Agent | 2117 JEKYLL CT, FERANDINA BEACH, FL, 32034 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G22000094271 | MAPS PSYCHIATRY AND WELLNESS | ACTIVE | 2022-08-10 | 2027-12-31 | - | 1896 S 14TH STRET, UNIT 6, FERNANDINA BEACH, FL, 32034 |
| G21000111169 | MAPS INTEGRATED WELLNESS | ACTIVE | 2021-08-27 | 2026-12-31 | - | 2117 JEKYLL CT, FERNANDINA BEACH, FL, 32034 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-02-03 | 1896 SOUTH 14TH STREET, 6, FERNANDINA BEACH, FL 32034 | - |
| REGISTERED AGENT ADDRESS CHANGED | 2025-02-03 | 2648 Bailey Rd, FERANDINA BEACH, FL 32034 | - |
| CHANGE OF PRINCIPAL ADDRESS | 2022-04-07 | 1896 SOUTH 14TH STREET, 6, FERNANDINA BEACH, FL 32034 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-03 |
| ANNUAL REPORT | 2024-02-24 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-04-07 |
| ANNUAL REPORT | 2021-02-22 |
| Florida Limited Liability | 2020-02-03 |
Date of last update: 01 Mar 2025
Sources: Florida Department of State
