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Compassionate Care Clinic, LLC

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Company Details

Name: Compassionate Care Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Oct 2016 (9 years ago)
Business ID: 1102424
ZIP code: 38801
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 5357 CLIFF GOOKIN, 5357 CLIFF GOOKINTUPELO, MS 38801
Historical names: Tupelo Pain Managers & Medical, LLC

Agent

Name Role Address
Kim Lucius Agent 1202 North Gloster St, P. O. Box 71, Tupelo, MS 38804

Member

Name Role Address
CYNTHIA RENA KOHLIEM Member 1085 COUNTY ROAD 196, BLUE SPRINGS, MS 38828

Manager

Name Role Address
GLEN KOHLIEM Manager 5357 CLIFF GOOKIN BLVD., TUPELO, MS 38801

National Provider Identifier

NPI Number:
1194276303

Authorized Person:

Name:
DR. CYNTHIA KOHLIEM
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-08 Annual Report For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2024-03-31 Annual Report For Compassionate Care Clinic, LLC
Amendment Form Filed 2023-04-17 Amendment For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2023-04-17 Annual Report For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2022-04-22 Annual Report For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2021-04-12 Annual Report For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2020-02-11 Annual Report For Compassionate Care Clinic, LLC
Amendment Form Filed 2020-02-11 Amendment For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2019-08-16 Annual Report For Compassionate Care Clinic, LLC
Annual Report LLC Filed 2018-08-31 Annual Report For Compassionate Care Clinic, LLC

USAspending Awards / Financial Assistance

Date:
2020-06-18
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-28
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:
4800.00
Total Face Value Of Loan:
4800.00

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
4800
Current Approval Amount:
4800
Race:
Black or African American
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
4833.14

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Date of last update: 17 May 2025

Sources: Company Profile on Mississippi Secretary of State Website