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Desoto Family Wellness Center, LLC

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Company Details

Name: Desoto Family Wellness Center, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jul 2020 (5 years ago)
Business ID: 1219890
ZIP code: 38672
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 3495 Cobblestone Blvd SouthSouthaven, MS 38672

Agent

Name Role Address
Julie B Mitchell Agent 124 One Madison Plaza, Suite 2300, Madison, MS 39110

Manager

Name Role Address
Carroll Hoselton Manager 2016 Nottaway Dr, 2016 Nottaway Dr, Southaven, MS 38672

Member

Name Role Address
Patricia Hoselton Member 2016 Nottaway, Southaven, MS 38672

National Provider Identifier

NPI Number:
1376143024
Certification Date:
2023-09-18

Authorized Person:

Name:
AMY LYNN OLLAR
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
6628922889

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-15 Annual Report For Desoto Family Wellness Center, LLC
Amendment Form Filed 2024-06-14 Amendment For Desoto Family Wellness Center, LLC
Registered Agent Change of Address Filed 2024-05-31 Agent Address Change For Julie B Mitchell
Annual Report LLC Filed 2024-04-15 Annual Report For Desoto Family Wellness Center, LLC
Annual Report LLC Filed 2023-04-15 Annual Report For Desoto Family Wellness Center, LLC
Annual Report LLC Filed 2022-04-15 Annual Report For Desoto Family Wellness Center, LLC
Annual Report LLC Filed 2021-04-13 Annual Report For Desoto Family Wellness Center, LLC
Amendment Form Filed 2021-03-23 Amendment For Desoto Family Wellness Center, LLC
Amendment Form Filed 2020-12-17 Amendment For Desoto Family Wellness Center, LLC
Formation Form Filed 2020-06-30 Formation For Desoto Family Wellness Center, LLC

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Date of last update: 23 May 2025

Sources: Company Profile on Mississippi Secretary of State Website