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Divine Behavioral Solutions

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Company Details

Name: Divine Behavioral Solutions
Jurisdiction: MISSISSIPPI
Business Type: Non Profit Corporation
Status: Good Standing
Effective Date: 17 Aug 2023 (2 years ago)
Business ID: 1407174
ZIP code: 39401
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 5328 Old Hwy 42 Hatt, MS 39401

Incorporator

Name Role Address
Patrick Surrell Incorporator 5328 Old Hwy 42, Hattiesburg, MS 39401

Agent

Name Role Address
Catrina Magee Agent 1700 West Government Street, Brandon, MS 39042

President

Name Role Address
Jevaughn Osgood President 102 Presley Drive, Hattiesburg, MS 39401

Secretary

Name Role Address
Elizabeth Conerly Secretary 1817 Westgate Pkwy, Gautier, MS 39553

Treasurer

Name Role Address
Desmond Bolton Treasurer 1002 Myrtle DR, Laurel, MS 39440

National Provider Identifier

NPI Number:
1912730011
Certification Date:
2024-08-21

Authorized Person:

Name:
PATRICK SURRELL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Amendment Form Filed 2025-04-15 Amendment For Divine Behavioral Solutions
Non-Profit Annual Report Filed 2025-04-15 Annual Report For Divine Behavioral Solutions
Formation Form Filed 2023-08-17 Formation For Divine Behavioral Solutions

Tax Exempt

Employer Identification Number (EIN) :
93-2944765
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2024-10
National Taxonomy Of Exempt Entities:
Human Services: Human Services N.E.C.
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 03 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website