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  5. FIRST COAST MENTAL HEALTH P.A.

FIRST COAST MENTAL HEALTH P.A. - Florida Company Profile

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Company Details

Entity Name: FIRST COAST MENTAL HEALTH P.A.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 26 Mar 2008 (17 years ago)
Document Number: P08000031811
FEI/EIN Number 223977578
Address: 1409 KINGSLEY AVE., SUITE 8, ORANGE PARK, FL, 32073, US
Mail Address: 1409 KINGSLEY AVE., SUITE 8, ORANGE PARK, FL, 32073, US
ZIP code: 32073
City: Orange Park
County: Clay
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
GRISSETT KATHLEEN B President 1543 kingsley ave, ORANGE PARK, FL, 32073
GRISSETT KATHLEEN B Vice President 1543 kingsley ave, ORANGE PARK, FL, 32073
GRISSETT KATHLEEN B Secretary 1543 kingsley ave, ORANGE PARK, FL, 32073
GRISSETT KATHLEEN B Treasurer 1543 kingsley ave, ORANGE PARK, FL, 32073
GRISSETT KATHLEEN B Director 1543 Kingsley ave, ORANGE PARK, FL, 32073
WILLIAM G HAEBERLE Agent 1440 PEACHTREE ST, JAX, FL, 32207

National Provider Identifier

NPI Number:
1285884650
Certification Date:
2022-10-19
Link:
View on NPI website

Authorized Person:

Name:
MELODY D TAYLOR
Role:
OFFICE MANAGER
Phone:
9042697200

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Phone:
+1 904-269-7200
Fax:
9042690070

Form 5500 Series

Employer Identification Number (EIN):
223977578
Plan Year:
2023
Number Of Participants:
5
Sponsors Telephone Number:
9044343899
File:
View File
Plan Year:
2022
Number Of Participants:
6
Sponsors Telephone Number:
9043496221
File:
View File
Plan Year:
2021
Number Of Participants:
5
Sponsors Telephone Number:
9043496221
File:
View File
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:
9043496221
File:
View File
Plan Year:
2019
Number Of Participants:
5
Sponsors Telephone Number:
9043496221
File:
View File

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2023-04-20 1409 KINGSLEY AVE., SUITE 8, ORANGE PARK, FL 32073 -
CHANGE OF MAILING ADDRESS 2023-04-20 1409 KINGSLEY AVE., SUITE 8, ORANGE PARK, FL 32073 -
REGISTERED AGENT NAME CHANGED 2012-04-23 WILLIAM G HAEBERLE -
REGISTERED AGENT ADDRESS CHANGED 2012-04-23 1440 PEACHTREE ST, JAX, FL 32207 -

Documents

Name Date
ANNUAL REPORT 2024-04-29
ANNUAL REPORT 2023-04-20
ANNUAL REPORT 2022-04-26
ANNUAL REPORT 2021-04-07
ANNUAL REPORT 2020-04-29
ANNUAL REPORT 2019-04-24
ANNUAL REPORT 2018-04-26
ANNUAL REPORT 2017-04-18
ANNUAL REPORT 2016-04-12
ANNUAL REPORT 2015-04-29

USAspending Awards / Financial Assistance

Date:
2022-08-29
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: GUARANTEED/INSURED LOANS ACTIVITIES TO BE PERFORMED: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE BUT CAN DEMONSTRATE AN ABILITY TO REPAY LOANS IF GRANTED, IN A TIMELY MANNER. THE SBA GUARANTEES 7(A) PROGRAM LOANS THROUGH VARIOUS LOAN PROCESSING METHODS INCLUDING: (1) STANDARD 7(A) LOANS; (2) 7(A) SMALL LOANS; (3) SBAEXPRESS LOANS; (4) CAPLINE LOANS; (5) THE QUALIFIED EMPLOYEE TRUSTS (ESOP); (6) EXPORT EXPRESS; (7)EXPORT WORKING CAPITAL PROGRAM (EWCP); (8) INTERNATIONAL TRADE, AND (9) PILOT (TEMPORARY) PROGRAMS. DELIVERABLES: LOAN GUARANTEES EXPECTED OUTCOMES: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES AND, IN CERTAIN CIRCUMSTANCES, TO QUALIFIED EMPLOYEE TRUSTS (ESOPS). INTENDED BENEFICIARIES: SMALL BUSINESSES SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
658000.00
Total Face Value Of Loan:
658000.00
Date:
2020-05-03
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:
51360.00
Total Face Value Of Loan:
51360.00
Date:
2020-05-03
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:
51360.00
Total Face Value Of Loan:
51360.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$51,360
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$51,360
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$51,676.6
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $51,360

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Date of last update: 01 Aug 2025

Sources: Florida Department of State

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