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COASTAL BEHAVIORAL THERAPY, INC.

COASTAL BEHAVIORAL THERAPY, INC. - Florida Company Profile

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Company Details

Entity Name:	COASTAL BEHAVIORAL THERAPY, INC.
Jurisdiction:	FLORIDA
Filing Type:	Domestic Profit
Status:	Active
Date Filed:	22 Feb 2002 (24 years ago)
Last Event:	AMENDMENT
Event Date Filed:	11 May 2007 (18 years ago)
Document Number:	P02000020986
FEI/EIN Number	753007743
Address:	590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL, 32955, US
Mail Address:	590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL, 32955, US
ZIP code:	32955
City:	Rockledge
County:	Brevard
Place of Formation:	FLORIDA

Key Officers & Management

Name	Role	Address
ZAVALETA ISIDRO J	President	590 Solutions Way, STE 120, ROCKLEDGE, FL, 32955
ZAVALETA ISIDRO J	Treasurer	590 Solutions Way, STE 120, ROCKLEDGE, FL, 32955
ZAVALETA ISIDRO J	Secretary	590 Solutions Way, STE 120, ROCKLEDGE, FL, 32955
ZAVALETA REBECCA L	Vice President	590 Solutions Way, STE 120, ROCKLEDGE, FL, 32955
ZAVALETA REBECCA L	Director	590 Solutions Way, STE 120, ROCKLEDGE, FL, 32955
ZAVALETA ISIDRO J	Agent	590 SOLUTIONS WAY, ROCKLEDGE, FL, 32955

National Provider Identifier

NPI Number:

1558492090

Certification Date:

2025-05-16

Link:

View on NPI website

Authorized Person:

Name:

MR. ISIDRO ZAVALETA

Role:

EXECUTIVE DIRECTOR

Phone:

3216843334

Taxonomy:

Selected Taxonomy:

101Y00000X - Counselor

Is Primary:

Selected Taxonomy:

101YM0800X - Mental Health Counselor

Is Primary:

Selected Taxonomy:

103K00000X - Behavior Analyst

Is Primary:

Selected Taxonomy:

106E00000X - Assistant Behavior Analyst

Is Primary:

Selected Taxonomy:

235Z00000X - Speech-Language Pathologist

Is Primary:

Yes

Contacts:

Phone:

+1 321-684-3334

Fax:

3216359171

Form 5500 Series

Employer Identification Number (EIN):

753007743

Plan Year:

2015

Number Of Participants:

Sponsors Telephone Number:

3216359535

File:

View File

Plan Year:

2015

Number Of Participants:

Sponsors Telephone Number:

3216359535

File:

View File

Plan Year:

2014

Number Of Participants:

Sponsors Telephone Number:

3216359535

File:

View File

Plan Year:

2013

Number Of Participants:

Sponsors Telephone Number:

3216359535

File:

View File

Events

Event Type	Filed Date	Value	Description
CHANGE OF PRINCIPAL ADDRESS	2009-03-11	590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955	-
CHANGE OF MAILING ADDRESS	2009-03-11	590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955	-
REGISTERED AGENT NAME CHANGED	2009-03-11	ZAVALETA, ISIDRO J	-
REGISTERED AGENT ADDRESS CHANGED	2009-03-11	590 SOLUTIONS WAY, SUITE 120, ROCKLEDGE, FL 32955	-
AMENDMENT	2007-05-11	-	-
AMENDMENT	2007-04-11	-	-

Documents

Name	Date
ANNUAL REPORT	2024-03-07
ANNUAL REPORT	2023-04-03
ANNUAL REPORT	2022-03-09
ANNUAL REPORT	2021-04-02
ANNUAL REPORT	2020-04-06
ANNUAL REPORT	2019-04-02
ANNUAL REPORT	2018-03-28
ANNUAL REPORT	2017-04-14
ANNUAL REPORT	2016-03-28
ANNUAL REPORT	2015-03-17

USAspending Awards / Financial Assistance

Date:

2020-05-20

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

-7257.00

Total Face Value Of Loan:

20000.00

Date:

2020-05-02

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

ECONOMIC INJURY DISASTER GRANT

Obligated Amount:

3000.00

Face Value Of Loan:

0.00

Total Face Value Of Loan:

0.00

Date:

2020-05-02

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

ECONOMIC INJURY DISASTER GRANT

Obligated Amount:

3000.00

Face Value Of Loan:

0.00

Total Face Value Of Loan:

0.00

Date:

2020-04-30

Link:

View on USAspending

Awarding Agency Name:

Small Business Administration

Transaction Description:

TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.

Obligated Amount:

0.00

Face Value Of Loan:

27257.00

Total Face Value Of Loan:

20000.00

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$27,257

Date Approved:

2020-04-30

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$20,000

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$20,290.96

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $20,000

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Date of last update: 02 Aug 2025

Sources: Florida Department of State