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Walters Collaborative, LLC

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Company Details

Name: Walters Collaborative, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 May 2023 (2 years ago)
Business ID: 1392043
ZIP code: 39648
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 124 N. Broadway StreetMccomb, MS 39648
Fictitious names: Walters Speech Therapy

Agent

Name Role Address
Shantel Walters Agent 6196B Hwy 567, Liberty, MS 39645

Member

Name Role Address
Shantel Walters Member 6196B Hwy 567, Liberty, MS 39645

National Provider Identifier

NPI Number:
1265123863
Certification Date:
2023-05-16

Authorized Person:

Name:
MRS. SHANTEL CRAIN WALTERS
Role:
SLP/BUSINESS OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0700X - Hearing and Speech Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-27 Annual Report For Walters Collaborative, LLC
Annual Report LLC Filed 2024-04-24 Annual Report For Walters Collaborative, LLC
Annual Report LLC Filed 2024-02-22 Annual Report For Walters Collaborative, LLC
Fictitious Name Registration Filed 2023-05-05 Fictitious Name Registration For Walters Collaborative, LLC
Formation Form Filed 2023-05-05 Formation For Walters Collaborative, LLC

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Date of last update: 02 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website