| Entity Name: | EMERALD COAST HEALING CENTER, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Company |
| Status: | Active |
| Date Filed: | 22 Jul 2022 (3 years ago) |
| Document Number: | L22000326085 |
| FEI/EIN Number | 88-3559364 |
| Address: | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 |
| Mail Address: | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 |
| ZIP code: | 32566 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164130167 | 2022-11-08 | 2022-12-07 | 1910 NAVARRE SCHOOL RD UNIT 5277, NAVARRE, FL, 325666412, US | 8536 HIGH SCHOOL BLVD, NAVARRE, FL, 325663218, US | |||||||||||||||
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| Phone | +1 850-684-5566 |
| Fax | 8505464588 |
Authorized person
| Name | DIXIE EPPOLITO |
| Role | CEO/OWNER/THERAPIST |
| Phone | 8506845566 |
Taxonomy
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EPPOLITO, DIXIE M | Agent | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 |
| Name | Role | Address |
|---|---|---|
| EPPOLITO, DIXIE M | Chief Executive Officer | 1910 Navarre School Road, Unit 5277 Navarre, FL 32566 |
| Name | Role | Address |
|---|---|---|
| EPPOLITO, CHRISTIAN J | Vice President | 1910 Navarre School Road, Unit 5277 Navarre, FL 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-04-28 | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 | No data |
| CHANGE OF MAILING ADDRESS | 2023-04-28 | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2023-04-28 | 1910 Navarre School Road, Unit 5277, Navarre, FL 32566 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-05-01 |
| ANNUAL REPORT | 2023-04-28 |
| Florida Limited Liability | 2022-07-22 |
Date of last update: 11 Feb 2025
Sources: Florida Department of State
