| Entity Name: | COASTAL PINELLAS BEHAVIORAL HEALTH INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 21 Sep 2023 (a year ago) |
| Document Number: | P23000068275 |
| FEI/EIN Number | 93-3603972 |
| Address: | 2874 ALLAPATTAH DR, CLEARWATER, FL, 33761, US |
| Mail Address: | 2874 ALLAPATTAH DR, CLEARWATER, FL, 33761, US |
| ZIP code: | 33761 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215776059 | 2024-05-21 | 2024-05-24 | 537 DOUGLAS AVE, DUNEDIN, FL, 346987605, US | 537 DOUGLAS AVE, DUNEDIN, FL, 346987605, US | |||||||||||||||||||||
|
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| Phone | +1 727-666-0222 |
Authorized person
| Name | FELIX NWOKOLO |
| Role | CEO |
| Phone | 7276660222 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center) |
| Is Primary | No |
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| ACCOUNTING SOLUTION SERVICES OF FL, INC | Agent | 2494 CURLEW RD, CLEARWATER, FL, 33761 |
| Name | Role | Address |
|---|---|---|
| NWOKOLO FELIX C | President | 2874 ALLAPATTAH DR, CLEARWATER, FL, 33761 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-12 |
| Domestic Profit | 2023-09-21 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
