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Practitioner Psychiatric Services, LLC

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Company Details

Name: Practitioner Psychiatric Services, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Oct 2021 (4 years ago)
Business ID: 1307397
ZIP code: 39507
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 370 Courthouse Rd, Ste 106, 370 Courthouse Rd, Ste 106Gulfport, MS 39507

Agent

Name Role Address
Jana Plauche Agent 370 Courthouse Road, Suite 106, Gulfport, MS 39507

Manager

Name Role Address
Jana Plauche Manager 1 Creole Cove, Gulfport, MS 39507

Member

Name Role Address
Jana Plauche Member 1 Creole Cove, Gulfport, MS 39507
Rhett Plauche Member 1 Creole Cove, Gulfport, MS 39507

Organizer

Name Role Address
Stephen W. Burrow Organizer 1126 Jackson Avenue, Suite 102, Pascagoula, MS 39567

National Provider Identifier

NPI Number:
1629737671
Certification Date:
2022-02-04

Authorized Person:

Name:
JANA PLAUCHE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2288651331

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2024-04-03 Annual Report For Practitioner Psychiatric Services, LLC
Annual Report LLC Filed 2023-06-23 Annual Report For Practitioner Psychiatric Services, LLC
Annual Report LLC Filed 2022-09-23 Annual Report For Practitioner Psychiatric Services, LLC
Notice to Dissolve/Revoke Filed 2022-09-05 Notice of Intent to Dissolve: AR: Practitioner Psychiatric Services, LLC
Formation Form Filed 2021-10-13 Formation For Practitioner Psychiatric Services, LLC

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Date of last update: 27 May 2025

Sources: Company Profile on Mississippi Secretary of State Website