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Victoria L. Carroll, PMHNP-BC, LLC

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Company Details

Name: Victoria L. Carroll, PMHNP-BC, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Jan 2022 (3 years ago)
Business ID: 1318435
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 283 Woodland Brook DriveMadison, MS 39110

Agent

Name Role Address
Victoria Carroll Agent 283 Woodland Brook Drive, Madison, MS 39110

Organizer

Name Role Address
Frank J. Bradshaw CPA Organizer 1052 Highland Colony Parkway, Suite 100, Ridgeland, MS 39157

Member

Name Role Address
Victoria L. Carroll Member 283 Woodland Brook Dr., Madison, MS 39110

National Provider Identifier

NPI Number:
1679387286
Certification Date:
2025-02-04

Authorized Person:

Name:
VICTORIA LAUREN CARROLL
Role:
PSYCHIATRIC MENTAL HEALTH NP, OWNER
Phone:

Taxonomy:

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

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-08 Annual Report For Victoria L. Carroll, PMHNP-BC, LLC
Annual Report LLC Filed 2024-01-12 Annual Report For Victoria L. Carroll, PMHNP-BC, LLC
Annual Report LLC Filed 2023-01-26 Annual Report For Victoria L. Carroll, PMHNP-BC, LLC
Formation Form Filed 2022-01-07 Formation For Victoria L. Carroll, PMHNP-BC, LLC

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Date of last update: 28 May 2025

Sources: Company Profile on Mississippi Secretary of State Website