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BLUEWATER BEHAVIORAL HEALTH, INC. - Florida Company Profile

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Company Details

Entity Name: BLUEWATER BEHAVIORAL HEALTH, INC.
Jurisdiction: FLORIDA
Filing Type: Domestic Profit
Status: Active
Date Filed: 30 Oct 2018 (7 years ago)
Document Number: P18000090456
FEI/EIN Number 83-2423740
Address: 4400 East Highway 20, NICEVILLE, FL, 32578, US
Mail Address: 4400 East Highway 20, NICEVILLE, FL, 32578, US
ZIP code: 32578
City: Niceville
County: Okaloosa
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
POWERS LEIGH Director 4400 East Highway 20, NICEVILLE, FL, 32578
Powers Leigh GDr. Agent 835 Choctaw Ln, Shalimar, FL, 32579

Unique Entity ID

Unique Entity ID:
G4WJC2WS4694
UEI Expiration Date:
2026-06-05

Business Information

Activation Date:
2025-06-09
Initial Registration Date:
2025-06-05

National Provider Identifier

NPI Number:
1922562628
Certification Date:
2025-07-07

Authorized Person:

Name:
LEIGH GAYLE POWERS
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Fax:
7734928765

Events

Event Type Filed Date Value Description
CHANGE OF PRINCIPAL ADDRESS 2025-01-29 4400 East Highway 20, Suite #306, NICEVILLE, FL 32578 -
CHANGE OF MAILING ADDRESS 2025-01-29 4400 East Highway 20, Suite #306, NICEVILLE, FL 32578 -
REGISTERED AGENT ADDRESS CHANGED 2025-01-29 835 Choctaw Ln, Shalimar, FL 32579 -
CHANGE OF PRINCIPAL ADDRESS 2020-01-19 4400 East Highway 20, Suite #313, NICEVILLE, FL 32578 -
REGISTERED AGENT ADDRESS CHANGED 2020-01-19 4515 Parkview Lane, Niceville, FL 32578 -
CHANGE OF MAILING ADDRESS 2020-01-19 4400 East Highway 20, Suite #313, NICEVILLE, FL 32578 -
REGISTERED AGENT NAME CHANGED 2020-01-19 Powers, Leigh G, Dr. -

Documents

Name Date
ANNUAL REPORT 2025-01-29
ANNUAL REPORT 2024-02-06
ANNUAL REPORT 2023-02-19
ANNUAL REPORT 2022-01-29
ANNUAL REPORT 2021-02-08
ANNUAL REPORT 2020-01-19
ANNUAL REPORT 2019-01-29
Domestic Profit 2018-10-30

USAspending Awards / Financial Assistance

Date:
2020-05-08
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:
5555.00
Total Face Value Of Loan:
5555.00
Date:
2020-05-08
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:
5555.00
Total Face Value Of Loan:
5555.00
Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-27
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$5,555
Date Approved:
2020-05-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$5,555
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$4,199.33
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $5,555

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Date of last update: 02 Aug 2025

Sources: Florida Department of State