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Peden Pediatric Therapy, LLC

Company Details

Name: Peden Pediatric Therapy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 08 Aug 2023 (2 years ago)
Business ID: 1405586
ZIP code: 38841
County: Pontotoc
State of Incorporation: MISSISSIPPI
Principal Office Address: 2363 Tutor RoadEcru, MS 38841

Organizer

Name Role Address
Timothy Scott Esq Organizer 105 S Front St, Tupelo, MS 38804

Manager

Name Role Address
Mallory Vance Peden Manager 2363 Tutor Road, Ecru, MS 38841

Member

Name Role Address
Mallory Vance Peden Member 2363 Tutor Road, Ecru, MS 38841

Other

Name Role Address
Mallory Vance Peden Other 2363 Tutor Road, Ecru, MS 38841

Agent

Name Role Address
Victor Bishop Agent 1328 North Lamar Blvd., Oxford, MS 38655

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
EPBWKDM9JEG6
UEI Expiration Date:
2025-01-28

Business Information

Activation Date:
2024-01-31
Initial Registration Date:
2024-01-29

National Provider Identifier

NPI Number:
1407632474
Certification Date:
2023-09-06

Authorized Person:

Name:
MRS. MALLORY VANCE PEDEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-02-10 Annual Report For Peden Pediatric Therapy, LLC
Amendment Form Filed 2025-01-06 Amendment For Peden Pediatric Therapy, LLC
Annual Report LLC Filed 2024-03-10 Annual Report For Peden Pediatric Therapy, LLC
Formation Form Filed 2023-08-07 Formation For Peden Pediatric Therapy, LLC

Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website