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Hernando Psychiatry LLC

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Company Details

Name: Hernando Psychiatry LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Jan 2023 (2 years ago)
Business ID: 1375600
ZIP code: 38632
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 324 West Valley Street, Suite 108Hernando, MS 38632

Agent

Name Role Address
Ethan Smitherman Agent 25 Robertson Rd S, Hernando, MS 38632

Manager

Name Role Address
Ethan Smitherman Manager 324 W Valley St, Ste 108, Hernando, MS 38632

Member

Name Role Address
Ethan Smitherman Member 324 W Valley St, Ste 108, Hernando, MS 38632

President

Name Role Address
Ethan Smitherman President 324 W Valley St, Ste 108, Hernando, MS 38632

National Provider Identifier

NPI Number:
1912600750
Certification Date:
2023-03-22

Authorized Person:

Name:
MR. ETHAN TYLER SMITHERMAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-21 Annual Report For Hernando Psychiatry LLC
Annual Report LLC Filed 2024-04-15 Annual Report For Hernando Psychiatry LLC
Formation Form Filed 2023-01-25 Formation For Hernando Psychiatry LLC

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Date of last update: 01 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website