| Entity Name: | EMERALD COAST BEHAVIORAL HOSPITAL, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Limited Liability Co. |
| Status: | Active |
| Date Filed: | 24 Aug 2009 (15 years ago) |
| Last Event: | LC STMNT OF RA/RO CHG |
| Event Date Filed: | 30 Jan 2017 (8 years ago) |
| Document Number: | M09000003307 |
| FEI/EIN Number | 270720873 |
| Address: | 1940 HARRISON AVENUE, PANAMA CITY, FL, 32405, US |
| Mail Address: | 1940 HARRISON AVENUE, PANAMA CITY, FL, 32405, US |
| ZIP code: | 32405 |
| County: | Bay |
| Place of Formation: | DELAWARE |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1932742491 | 2019-10-28 | 2021-03-17 | 1940 HARRISON AVE, PANAMA CITY, FL, 324054542, US | 1940 HARRISON AVE, PANAMA CITY, FL, 324054542, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 850-763-0017 |
Authorized person
| Name | STEVE FILTON |
| Role | VICE PRESIDENT |
| Phone | 6107683482 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 283Q00000X - Psychiatric Hospital |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role |
|---|---|
| PREMIER BEHAVIORAL SOLUTIONS, INC. | Managing Member |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000093434 | BLUE SPRINGS OUTPATIENT CENTER | EXPIRED | 2019-08-07 | 2024-12-31 | No data | 2925 OPTIMIST DRIVE, MARIANNA, FL, 32448 |
| G19000093433 | OKALOOSA OUTPATIENT CENTER | EXPIRED | 2019-08-07 | 2024-12-31 | No data | 2004 LEWIS TURNER BLVD B, FORT WALTON BEACH, FL, 32547 |
| G09000173839 | EMERALD COAST BEHAVIORAL HOSPITAL | ACTIVE | 2009-11-10 | 2029-12-31 | No data | 1940 HARRISON AVE., PANAMA CITY, FL, 32405 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2018-02-23 | 1940 HARRISON AVENUE, PANAMA CITY, FL 32405 | No data |
| LC STMNT OF RA/RO CHG | 2017-01-30 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2017-01-30 | CORPORATION SERVICE COMPANY | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-01-30 | 1201 HAYS STREET, TALLAHASSEE, FL 32301 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2012-07-18 | 1940 HARRISON AVENUE, PANAMA CITY, FL 32405 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-07 |
| ANNUAL REPORT | 2022-04-19 |
| ANNUAL REPORT | 2021-04-16 |
| ANNUAL REPORT | 2020-04-03 |
| ANNUAL REPORT | 2019-04-12 |
| ANNUAL REPORT | 2018-02-23 |
| ANNUAL REPORT | 2017-04-05 |
| CORLCRACHG | 2017-01-30 |
| ANNUAL REPORT | 2016-03-04 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
