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Four Corners Psychiatry PLLC

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Company Details

Name: Four Corners Psychiatry PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 01 Jul 2022 (3 years ago)
Business ID: 1346490
ZIP code: 39110
County: Madison
State of Incorporation: MISSISSIPPI
Principal Office Address: 1888 Main Street, Suite C#410Madison, MS 39110

Agent

Name Role Address
Capitol Corporate Services, Inc. Agent 248 E Capitol St., Ste 840, Jackson, MS 39201

Manager

Name Role Address
Jared K Taylor Manager 1888 Main Street, Suite C#410, Madison, MS 39110

National Provider Identifier

NPI Number:
1790477636
Certification Date:
2023-05-20

Authorized Person:

Name:
JARED KEROME TAYLOR
Role:
SOLE MBR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6012924520

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-21 Annual Report For Four Corners Psychiatry PLLC
Annual Report LLC Filed 2024-04-10 Annual Report For Four Corners Psychiatry PLLC
Annual Report LLC Filed 2023-04-12 Annual Report For Four Corners Psychiatry PLLC
Amendment Form Filed 2022-09-13 Amendment For Four Corners Psychiatry PLLC
Formation Form Filed 2022-06-26 Formation For Four Corners Psychiatry PLLC

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Date of last update: 30 May 2025

Sources: Company Profile on Mississippi Secretary of State Website