| Entity Name: | BAY TO BAY BEHAVIORAL HEALTH LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
BAY TO BAY 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: |
Inactive
The business entity is inactive. This status may signal operational issues or voluntary closure, raising concerns about the business's ability to repay loans and requiring careful risk assessment by lenders. |
| Date Filed: | 22 Feb 2021 (4 years ago) |
| Date of dissolution: | 22 Sep 2023 (2 years ago) |
| Last Event: | ADMIN DISSOLUTION FOR ANNUAL REPORT |
| Event Date Filed: | 22 Sep 2023 (2 years ago) |
| Document Number: | L21000088409 |
| FEI/EIN Number |
86-3588131
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 10312 BLOOMINGDALE AVE, SUITE 108 #142, RIVERVIEW, FL, 33578, UN |
| Mail Address: | 10312 BLOOMINGDALE AVE, SUITE 108 #142, RIVERVIEW, FL, 33578, UN |
| ZIP code: | 33578 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1285380493 | 2022-02-25 | 2022-03-10 | 10312 BLOOMINGDALE AVE STE 108, RIVERVIEW, FL, 335783603, US | 1002 E PALM AVE, TAMPA, FL, 336053550, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 904-323-8349 |
Authorized person
| Name | KELLISHA D PRIESTER |
| Role | CLINICIAN |
| Phone | 5109168013 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| Is Primary | No |
| Taxonomy Code | 101YA0400X - Addiction (Substance Use Disorder) Counselor |
| Is Primary | No |
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 171400000X - Health & Wellness Coach |
| Is Primary | No |
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| Is Primary | No |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Taxonomy Code | 251C00000X - Developmentally Disabled Services Day Training Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Taxonomy Code | 253Z00000X - In Home Supportive Care Agency |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QM0855X - Adolescent and Children Mental Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 385HR2050X - Respite Care Camp |
| Is Primary | No |
| Taxonomy Code | 385HR2060X - Child Intellectual and/or Developmental Disabilities Respite Care |
| Is Primary | No |
| Taxonomy Code | 405300000X - Prevention Professional |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| PRIESTER KELLISHA D | Chief Executive Officer | 10312 BLOOMINGDALE AVE SUITE 108 #142, RIVERVIEW, FL, 33578 |
| LEONARD KAVIUS DSR. | Chief Operating Officer | 10312 BLOOMINGDALE AVE SUITE 108 #142, RIVERVIEW, FL, 33578 |
| PRIESTER KELLISHA D | Agent | 10312 BLOOMINGDALE AVE, RIVERVIEW, FL, 33578 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2023-09-22 | - | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2022-02-15 |
| Florida Limited Liability | 2021-02-22 |
Date of last update: 03 Apr 2025
Sources: Florida Department of State
