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COASTLINE MENTAL HEALTH LLC - Florida Company Profile

Company Details

Entity Name: COASTLINE MENTAL HEALTH LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.

COASTLINE MENTAL 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.
In Florida, LLCs are governed by Title XXXVI, Chapter 605, Florida Revised Limited Liability Company Act

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: 05 Aug 2024 (9 months ago)
Document Number: L24000342834
Address: 1723 PINE AVE, NICEVILLE, FL, 32578, US
Mail Address: 1723 PINE AVE, NICEVILLE, FL, 32578, US
ZIP code: 32578
County: Okaloosa
Place of Formation: FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1811729015 2024-08-15 2024-08-15 1723 PINE AVE, NICEVILLE, FL, 325784600, US 1723 PINE AVE, NICEVILLE, FL, 325784600, US

Contacts

Phone +1 850-368-4670

Authorized person

Name MR. BRIAN WADE PULLAM
Role OWNER
Phone 8503684670

Taxonomy

Taxonomy Code 363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary Yes

Key Officers & Management

Name Role Address
PULLAM BRIAN W Manager 1723 PINE AVE, NICEVILLE, FL, 32578
PULLAM BRIAN W Agent 1723 PINE AVE, NICEVILLE, FL, 32578

Documents

Name Date
ANNUAL REPORT 2025-02-06
Florida Limited Liability 2024-08-05

Date of last update: 02 Apr 2025

Sources: Florida Department of State