| Entity Name: | EMERALD COAST BEHAVIOR, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 01 Apr 2019 (6 years ago) |
| Document Number: | P19000029204 |
| FEI/EIN Number | 83-4495639 |
| Address: | 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563, US |
| Mail Address: | 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563, US |
| ZIP code: | 32563 |
| County: | Santa Rosa |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1033778659 | 2019-06-07 | 2022-05-19 | 5747 E BAY BLVD, GULF BREEZE, FL, 325639665, US | 5747 E BAY BLVD, GULF BREEZE, FL, 325639665, US | |||||||||||||||||
|
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| Phone | +1 850-307-8811 |
Authorized person
| Name | CANDICE LEE WOLFF |
| Role | OWNER |
| Phone | 8503078811 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Taxonomy Code | 252Y00000X - Early Intervention Provider Agency |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WOLFF CANDICE L | Agent | 4657 Gulf Breeze Pkwy, Gulf Breeze, FL, 32563 |
| Name | Role | Address |
|---|---|---|
| WOLFF CANDICE L | Vice President | 5747 E BAY BLVD, GULF BREEZE, 32563 |
| Name | Role | Address |
|---|---|---|
| RODAMAKER ABIGAIL | President | 2759 Pebble Beach Dr, Navarre, FL, 32566 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-03-07 | 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 | No data |
| CHANGE OF MAILING ADDRESS | 2024-03-07 | 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2024-03-07 | 4657 Gulf Breeze Pkwy, Ste C, Gulf Breeze, FL 32563 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-07 |
| ANNUAL REPORT | 2023-04-13 |
| ANNUAL REPORT | 2022-04-25 |
| ANNUAL REPORT | 2021-03-02 |
| ANNUAL REPORT | 2020-04-30 |
| Domestic Profit | 2019-04-01 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
