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Sprout Pediatric Therapy LLC

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Company Details

Name: Sprout Pediatric Therapy LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 15 May 2016 (9 years ago)
Business ID: 1092901
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 108 Serenity WayMadison, MS 39110

Agent

Name Role Address
Emily Renfro Custer Agent 216 Madison Ridge Rd5, Vicksburg, MS 39180

Organizer

Name Role Address
Emily Renfro Custer Organizer 216 Madison Ridge, Vicksburg, MS 39180

Manager

Name Role Address
Emily Custer Manager 108 Serenity way, Madison, MS 39110

National Provider Identifier

NPI Number:
1770060964

Authorized Person:

Name:
MRS. EMILY R CUSTER
Role:
OWNER/PHYSICAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
6015109735

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-11 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2024-02-12 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2023-05-04 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2022-01-07 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2021-05-19 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2020-09-11 Annual Report For Sprout Pediatric Therapy LLC
Annual Report LLC Filed 2020-09-10 Annual Report For Sprout Pediatric Therapy LLC
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Annual Report LLC Filed 2019-08-29 Annual Report For Sprout Pediatric Therapy LLC
Notice to Dissolve/Revoke Filed 2019-08-22 Notice to Dissolve/Revoke

USAspending Awards / Financial Assistance

Date:
2020-06-12
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
25000.00
Total Face Value Of Loan:
25000.00
Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website