| Entity Name: | GULF COAST THERAPY GROUP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 31 Mar 2021 (4 years ago) |
| Document Number: | L21000149996 |
| FEI/EIN Number | 86-3180953 |
| Address: | 905 NORTH NAVY BOULEVARD, PENSACOLA, FL 32507 |
| Mail Address: | 905 NORTH NAVY BOULEVARD, PENSACOLA, FL 32507 |
| ZIP code: | 32507 |
| County: | Escambia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467100925 | 2022-03-14 | 2022-03-14 | 905 N NAVY BLVD, PENSACOLA, FL, 325071274, US | 905 N NAVY BLVD, PENSACOLA, FL, 325071274, US | |||||||||||||||||||||
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| Phone | +1 850-261-0444 |
| Fax | 8507600838 |
Authorized person
| Name | LISA O'HARA |
| Role | OWNER |
| Phone | 8502610444 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1275944040 |
| State | FL |
| Name | Role |
|---|---|
| ZENBUSINESS INC. | Agent |
| Name | Role | Address |
|---|---|---|
| O'HARA, LISA | Authorized Member | 905 NORTH NAVY BOULEVARD, PENSACOLA, FL 32507 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT NAME CHANGED | 2023-03-03 | ZenBusiness Inc. | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-03-03 | 336 E. College Ave., Suite 301, Tallahassee, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2022-08-30 | 905 NORTH NAVY BOULEVARD, PENSACOLA, FL 32507 | No data |
| CHANGE OF MAILING ADDRESS | 2022-08-30 | 905 NORTH NAVY BOULEVARD, PENSACOLA, FL 32507 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-08 |
| ANNUAL REPORT | 2023-03-03 |
| ANNUAL REPORT | 2022-08-30 |
| Florida Limited Liability | 2021-03-31 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
