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Eternity Wellness 22 LLC

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Company Details

Name: Eternity Wellness 22 LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 21 Dec 2020 (4 years ago)
Business ID: 1249761
ZIP code: 39532
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1636 Popps Ferry Rd , Suite 234Biloxi, MS 39532

Links between entities

Type:
Headquarter of
Company Number:
20221977053
State:
COLORADO

Manager

Name Role Address
Tawana Raymond Manager 1636 Popps Ferry Rd, Suite 234, Biloxi, MS 39532

Agent

Name Role Address
Tawana Raymond Agent 1636 Popps Ferry Rd , STE 234, Biloxi, MS 39532

National Provider Identifier

NPI Number:
1639836000
Certification Date:
2024-04-18

Authorized Person:

Name:
TAWANA CHANELL RAYMOND
Role:
NURSE PRACTITIONER, OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2286412499

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-23 Annual Report For Eternity Wellness 22 LLC
Annual Report LLC Filed 2024-04-08 Annual Report For Eternity Wellness 22 LLC
Registered Agent Change of Address Filed 2024-04-08 Agent Address Change For Tawana Raymond
Registered Agent Change of Address Filed 2024-04-02 Agent Address Change For Tawana Raymond
Amendment Form Filed 2024-04-02 Amendment For Eternity Wellness 22 LLC
Annual Report LLC Filed 2024-02-28 Annual Report For Eternity Wellness 22 LLC
Annual Report LLC Filed 2023-03-20 Annual Report For Eternity Wellness 22 LLC
Registered Agent Change of Address Filed 2023-01-28 Agent Address Change For Tawana Raymond
Annual Report LLC Filed 2022-04-14 Annual Report For Eternity Wellness 22 LLC
Annual Report LLC Filed 2021-04-15 Annual Report For Eternity Wellness 22 LLC

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Date of last update: 24 May 2025

Sources: Company Profile on Mississippi Secretary of State Website