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Pivotal Health and Wellness Clinic, LLC

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Company Details

Name: Pivotal Health and Wellness Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 08 Mar 2022 (3 years ago)
Business ID: 1328539
ZIP code: 39047
County: Rankin
State of Incorporation: MISSISSIPPI
Principal Office Address: 322 Greensboro Drive Brandon, MS 39047

Agent

Name Role Address
Grenisha Young Agent 110 Cross Park Drive, Suite A, Pearl, MS 39208

Manager

Name Role Address
Grenisha Young Manager 110 Cross Park Drive, Suite A, Pearl, MS 39208

National Provider Identifier

NPI Number:
1700533890
Certification Date:
2022-03-08

Authorized Person:

Name:
MRS. GRENISHA YOUNG
Role:
FAMILY NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-01 Annual Report For Pivotal Health and Wellness Clinic, LLC
Annual Report LLC Filed 2024-04-10 Annual Report For Pivotal Health and Wellness Clinic, LLC
Annual Report LLC Filed 2023-04-13 Annual Report For Pivotal Health and Wellness Clinic, LLC
Formation Form Filed 2022-03-07 Formation For Pivotal Health and Wellness Clinic, LLC

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Date of last update: 29 May 2025

Sources: Company Profile on Mississippi Secretary of State Website