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GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC

Company Details

Name: GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 03 Aug 2022 (3 years ago)
Business ID: 1351921
ZIP code: 39501
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 2300 20TH STREETGULFPORT, MS 39501

Agent

Name Role Address
ROBERT L CULUMBER Agent 2300 20TH STREET, GULFPORT, MS 39501

Member

Name Role Address
RACHA FARES Member 14612 PORTEAUX BAY DR, BILOXI, MS 39532

National Provider Identifier

NPI Number:
1396472411
Certification Date:
2022-08-08

Authorized Person:

Name:
DR. RACHA FARES
Role:
NEUROPSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TA0700X - Adult Development & Aging Psychologist
Is Primary:
No
Selected Taxonomy:
103TE1100X - Exercise & Sports Psychologist
Is Primary:
No
Selected Taxonomy:
103TF0200X - Forensic Psychologist
Is Primary:
No
Selected Taxonomy:
103TM1800X - Intellectual & Developmental Disabilities Psychologist
Is Primary:
No
Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-05 Annual Report For GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC
Annual Report LLC Filed 2024-04-08 Annual Report For GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC
Annual Report LLC Filed 2023-03-21 Annual Report For GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC
Formation Form Filed 2022-08-03 Formation For GULF COAST NEUROPSYCHOLOGY AND NEURO-REHABILITATION LLC

Date of last update: 30 May 2025

Sources: Company Profile on Mississippi Secretary of State Website