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Awaken by Wellness LLC

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Company Details

Name: Awaken by Wellness LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 01 Feb 2023 (2 years ago)
Business ID: 1376640
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
Nekesha Nichole Lee Agent 13807 Robindale Rd, Gulfport, MS 39503

Member

Name Role Address
Nekesha Nichole Lee Member 13807 Robindale Rd, Gulfport, MS 39503

Manager

Name Role Address
Aga Daneen Young Manager 606 N Utica Street, Terry, MS 39170

National Provider Identifier

NPI Number:
1952117533
Certification Date:
2024-12-08

Authorized Person:

Name:
AGA DANEEN YOUNG
Role:
PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
251300000X - Local Education Agency (LEA)
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251T00000X - PACE Provider Organization
Is Primary:
No
Selected Taxonomy:
305R00000X - Preferred Provider Organization
Is Primary:
No
Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: Awaken by Wellness LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: Awaken by Wellness LLC
Formation Form Filed 2023-02-01 Formation For Awaken by Wellness LLC

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Date of last update: 01 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website