Search icon

Reconnect Wellness Pascagoula, LLC

Company Details

Name: Reconnect Wellness Pascagoula, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Nov 2017 (8 years ago)
Business ID: 1132830
ZIP code: 38803
County: Lee
State of Incorporation: MISSISSIPPI
Principal Office Address: 2844 Traceland DriveTupelo, MS 38803

National Provider Identifier

NPI Number:
1033609581
Certification Date:
2021-02-03

Authorized Person:

Name:
DOUGLAS M WRIGHT
Role:
MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
Yes

Contacts:

Fax:
6626209890

Date of last update: 19 May 2025

Sources: Company Profile on Mississippi Secretary of State Website