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Coast Neurology and Wellness Clinic, LLC

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Company Details

Name: Coast Neurology and Wellness Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 15 Jan 2019 (7 years ago)
Business ID: 1166125
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Dave Rowe Agent 101 Main Street North, Magee, MS 39111

Organizer

Name Role Address
Barry K. Cockrell Organizer One Eastover Center, Suite 400, Jackson, MS 39211

National Provider Identifier

NPI Number:
1205390549

Authorized Person:

Name:
JULI PUCHEU
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
Yes

Contacts:

Fax:
2284361664

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2020-11-27 Action of Coast Neurology and Wellness Clinic, LLC: AR
Notice to Dissolve/Revoke Filed 2020-08-28 Notice to Dissolve/Revoke
Formation Form Filed 2019-01-15 Formation For Coast Neurology and Wellness Clinic, LLC

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Date of last update: 07 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website