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Legacy Wellness Services, LLC

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Company Details

Name: Legacy Wellness Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Oct 2019 (6 years ago)
Business ID: 1192119
ZIP code: 39402
County: Lamar
State of Incorporation: MISSISSIPPI
Principal Office Address: 6068 US Hwy 98 West, Ste 1 Box 304Hattiesburg, MS 39402

Agent

Name Role Address
Nicole Lewis Agent 12075 Jessica Circle, Gulfport, MS 39503

Manager

Name Role Address
Nicole Lewis Manager 12075 Jessica Circle, Gulfport, MS 39503

National Provider Identifier

NPI Number:
1912579202
Certification Date:
2021-07-15

Authorized Person:

Name:
NICOLE LEWIS
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-04 Annual Report For Legacy Wellness Services, LLC
Annual Report LLC Filed 2024-02-01 Annual Report For Legacy Wellness Services, LLC
Annual Report LLC Filed 2023-01-23 Annual Report For Legacy Wellness Services, LLC
Annual Report LLC Filed 2022-02-10 Annual Report For Legacy Wellness Services, LLC
Annual Report LLC Filed 2021-03-18 Annual Report For Legacy Wellness Services, LLC
Annual Report LLC Filed 2020-06-20 Annual Report For Legacy Wellness Services, LLC
Formation Form Filed 2019-10-25 Formation For Legacy Wellness Services, LLC

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Date of last update: 21 May 2025

Sources: Company Profile on Mississippi Secretary of State Website