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Grace Myofascial Clinic, LLC

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Company Details

Name: Grace Myofascial Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 23 Apr 2012 (13 years ago)
Business ID: 1000713
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 113 Dees Drive Ste DMadison, MS 39110

Agent

Name Role Address
Sellers, John Agent 3000 Old Canton Road, Suite 240, Jackson, MS 39216

Manager

Name Role Address
John Sellers Manager 5913 Highway 51 North, Pickens, MS 39146

Member

Name Role Address
James M Crews III Member 129 East Peace StreetPO Box 344, Canton, MS 39046

National Provider Identifier

NPI Number:
1457656639

Authorized Person:

Name:
MRS. AMANDA WEILENMAN SELLERS
Role:
PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
7692576382

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report LLC Filed 2017-03-14 Annual Report For Grace Myofascial Clinic, LLC
Annual Report LLC Filed 2016-09-15 Annual Report For Grace Myofascial Clinic, LLC
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Reinstatement Filed 2015-08-21 Reinstatement For Grace Myofascial Clinic, LLC
Admin Dissolution Filed 2014-12-20 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Formation Form Filed 2012-04-23 Formation

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website