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Legacy 4 Change

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Company Details

Name: Legacy 4 Change
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 22 Oct 2020 (5 years ago)
Business ID: 1242296
ZIP code: 39150
County: Claiborne
State of Incorporation: MISSISSIPPI
Principal Office Address: 507 Market StPort Gibson, MS 39150

Agent

Name Role Address
Chasity Davis Agent 507 Market St, Port Gibson, MS 39150

Incorporator

Name Role Address
Chasity Davis Incorporator 326 N Genesee St Box 801, Waukegan, IL 60079

President

Name Role Address
Chasity Davis President 507 Market St, Port Gibson, MS 39150

Member

Name Role Address
Addie Davis Member 507 Market St, Port Gibson, MS 39150
Robyn Gordan Member 507 Market St, Port Gibson, MS 39150

National Provider Identifier

NPI Number:
1912664509
Certification Date:
2022-01-20

Authorized Person:

Name:
CHASITY DAVIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Non-Profit Status Report Filed 2023-04-26 Status Report For Legacy 4 Change
Formation Form Filed 2020-10-22 Formation For Legacy 4 Change

Trademarks Section

Serial Number:
97168915
Mark:
L4C
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2021-12-13
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
L4C

Goods And Services

For:
Behavioral health services; Behavioral health services in the nature of outpatient treatment, day treatment, screenings and evaluations, online and in person therapy, medication management services; Mental health counseling and psychotherapy as it relates to relationships; Mental health screening se...
First Use:
2019-10-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
97167991
Mark:
L4C LEGACY 4 CHANGE
Status:
Registered. The registration date is used to determine when post-registration maintenance documents are due.
Mark Type:
Service Mark
Application Filing Date:
2021-12-12
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
L4C LEGACY 4 CHANGE

Goods And Services

For:
Behavioral health services; Behavioral health services in the nature of outpatient treatment, day treatment, screenings and evaluations, online and in person therapy, medication management services; Mental health counseling and psychotherapy as it relates to relationships; Mental health screening se...
First Use:
2019-10-01
International Classes:
044 - Primary Class
Class Status:
ACTIVE

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Date of last update: 24 May 2025

Sources: Company Profile on Mississippi Secretary of State Website