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CollaborativeNP Health Center LLC

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Company Details

Name: CollaborativeNP Health Center LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 13 Jun 2023 (2 years ago)
Business ID: 1397635
ZIP code: 39657
County: Pike
State of Incorporation: MISSISSIPPI
Principal Office Address: 1081 Second Street, 1081 Second StreetOsyka, MS 39657

Agent

Name Role Address
49 WWW.MISSISSIPPIREGISTEREDAGENT.COM LLC Agent 270 TRACE COLONY PARK, STE B, RIDGELAND, MS 39157

Member

Name Role Address
Ellen Harris Member POB 160, Osyka, MS 39657

National Provider Identifier

NPI Number:
1316728512
Certification Date:
2025-01-03

Authorized Person:

Name:
DR. ELLEN DENISE HARRIS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8664933926

Filings

Type Status Filed Date Description
Reinstatement Filed 2025-05-02 Reinstatement For CollaborativeNP Health Center LLC
Admin Dissolution Filed 2024-12-01 Action of Intent to Dissolve: AR: CollaborativeNP Health Center LLC
Notice to Dissolve/Revoke Filed 2024-09-01 Notice of Intent to Dissolve: AR: CollaborativeNP Health Center LLC
Formation Form Filed 2023-06-13 Formation For CollaborativeNP Health Center LLC

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Date of last update: 20 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website