| Entity Name: | OLYMPIC BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Company
OLYMPIC BEHAVIORAL HEALTH 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: | 16 Oct 2020 (4 years ago) |
| Last Event: | LC AMENDMENT |
| Event Date Filed: | 23 Nov 2020 (4 years ago) |
| Document Number: | L20000328537 |
| FEI/EIN Number |
85-3671271
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3618 Lantana Road, SUITE 200, Lake Worth, FL 33462 |
| Mail Address: | 3618 Lantana Road, SUITE 200, Lake Worth, FL 33462 |
| ZIP code: | 33462 |
| County: | Palm Beach |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558965475 | 2020-11-23 | 2022-08-16 | 3618 LANTANA RD STE 200, LANTANA, FL, 334622247, US | 3618 LANTANA RD STE 200, LANTANA, FL, 334622247, US | |||||||||||||||||||||||
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| Phone | +1 561-272-0800 |
| Fax | 5618774895 |
Authorized person
| Name | ANDREW SPAHN |
| Role | CEO |
| Phone | 5612720800 |
Taxonomy
| 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 | 324500000X - Substance Abuse Rehabilitation Facility |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OLYMPIC BEHAVIORAL HEALTH LLC | 2023 | 853671271 | 2024-06-30 | OLYMPIC BEHAVIORAL HEALTH LLC | 32 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-30 |
| Name of individual signing | SHIRLEY HORNER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-10-01 |
| Business code | 621498 |
| Sponsor’s telephone number | 5615636582 |
| Plan sponsor’s address | 3618 LANTANA RD, STE 200, LAKE WORTH, FL, 33462 |
Signature of
| Role | Plan administrator |
| Date | 2023-06-23 |
| Name of individual signing | NICK RICE |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| MILLER, LOTHAR | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| SPAHN, ANDREW | Authorized Member | 7901 4TH ST N STE 300, ST. PETERSBURG, FL 33702 |
| NORTHWEST REGISTERED AGENT LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-05-26 | 3618 Lantana Road, SUITE 200, Lake Worth, FL 33462 | - |
| CHANGE OF MAILING ADDRESS | 2023-05-26 | 3618 Lantana Road, SUITE 200, Lake Worth, FL 33462 | - |
| LC AMENDMENT | 2020-11-23 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-01-26 |
| AMENDED ANNUAL REPORT | 2023-05-26 |
| ANNUAL REPORT | 2023-01-09 |
| ANNUAL REPORT | 2022-01-21 |
| ANNUAL REPORT | 2021-03-02 |
| LC Amendment | 2020-11-23 |
| Florida Limited Liability | 2020-10-16 |
Date of last update: 14 Feb 2025
Sources: Florida Department of State
