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Ageless Women's Health MS LLC

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Company Details

Name: Ageless Women's Health MS LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 25 Apr 2023 (2 years ago)
Business ID: 1390000
State of Incorporation: MISSISSIPPI
Principal Office Address: 14358 N Frank Lloyd Wright Blvd STE 4Scottsdale, AZ 85260
Fictitious names: Ageless Women's Health

Agent

Name Role Address
NATIONAL REGISTERED AGENTS INC Agent 645 Lakeland East Drive, Suite 101, Flowood, MS 39232

Manager

Name Role Address
Jason Blackwood Manager 14358 N Frank Lloyd Wright Blvd #4, Scottsdale, AZ 85260

Organizer

Name Role Address
Susan Kay Organizer 14358 N. Frank Lloyd Wright Blvd., Suite 4, Scottsdale, AZ 85260

National Provider Identifier

NPI Number:
1437906823
Certification Date:
2024-05-02

Authorized Person:

Name:
TEAH PHILLIPS
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-15 Annual Report For Ageless Women's Health MS LLC
Annual Report LLC Filed 2024-04-26 Annual Report For Ageless Women's Health MS LLC
Fictitious Name Registration Filed 2023-07-05 Fictitious Name Registration For Ageless Women's Health MS LLC
Formation Form Filed 2023-04-25 Formation For Ageless Women's Health MS LLC

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Date of last update: 02 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website