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Be Well Mississippi LLC

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Company Details

Name: Be Well Mississippi LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 May 2022 (3 years ago)
Business ID: 1338329
ZIP code: 38655
County: Lafayette
State of Incorporation: MISSISSIPPI
Principal Office Address: 1582 Buchanan AvenueOxford, MS 38655

Agent

Name Role Address
Walter Alan Davis Agent 324 Jackson Avenue East, Oxford, MS 38655

Organizer

Name Role Address
Walter Alan Davis Organizer 324 Jackson Avenue East, Oxford, MS 38655

Member

Name Role Address
Antone McFerrin Nichols Member 1582 Buchanan Avenue, Oxford, MS 38655
Michael Koury Member 1582 Buchanan Avenue, Oxford, MS 38655

National Provider Identifier

NPI Number:
1518670850
Certification Date:
2023-06-15

Authorized Person:

Name:
ANTONE NICHOLS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
8775501363

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-03 Annual Report For Be Well Mississippi LLC
Annual Report LLC Filed 2024-04-01 Annual Report For Be Well Mississippi LLC
Annual Report LLC Filed 2023-08-24 Annual Report For Be Well Mississippi LLC
Formation Form Filed 2022-05-03 Formation For Be Well Mississippi LLC

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Date of last update: 29 May 2025

Sources: Company Profile on Mississippi Secretary of State Website