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Community Wellness and Rehab, LLC

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Company Details

Name: Community Wellness and Rehab, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 27 Jun 2023 (2 years ago)
Business ID: 1399769
ZIP code: 39503
County: Harrison
State of Incorporation: MISSISSIPPI
Principal Office Address: 25911 Sandy Creek CourtGulfport, MS 39503

Agent

Name Role Address
Terrance Skidmore Agent 25911 Sandy Creek Court, Gulfport, MS 39503

Member

Name Role Address
Demetria Skidmore Member 25911 Sandy Creek Court, Gulfport, MS 39503
Terrance Skidmore Member 25911 Sandy Creek Court, Gulfport, MS 39503

National Provider Identifier

NPI Number:
1093522864
Certification Date:
2024-12-18

Authorized Person:

Name:
MR. TERRANCE JOSEPH SKIDMORE
Role:
DIRECTOR, LCSW
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-03-29 Annual Report For Community Wellness and Rehab, LLC
Annual Report LLC Filed 2024-02-08 Annual Report For Community Wellness and Rehab, LLC
Formation Form Filed 2023-06-27 Formation For Community Wellness and Rehab, LLC

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Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website