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Harris Family Clinic, LLC

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Company Details

Name: Harris Family Clinic, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 05 Nov 2023 (2 years ago)
Business ID: 1417684
ZIP code: 38851
County: Chickasaw
State of Incorporation: MISSISSIPPI
Principal Office Address: 403 E Washington StHouston, MS 38851

Agent

Name Role Address
Aretha Renee Harris Agent 403 East Washington street, Houston, MS 38851

Member

Name Role Address
James Stephen Harris Sr Member 1132 Hwy 8 East, Houston, MS 38851
Randy Lamar Harris Member 403 East Washington street, Houston, MS 38851
Aretha Renee Harris Member 403 East Washington street, Houston, MS 38851

National Provider Identifier

NPI Number:
1023885050
Certification Date:
2024-11-08

Authorized Person:

Name:
ARETHA RENEE HARRIS
Role:
PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
4063157338

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-06 Annual Report For Harris Family Clinic, LLC
Annual Report LLC Filed 2024-03-26 Annual Report For Harris Family Clinic, LLC
Formation Form Filed 2023-11-06 Formation For Harris Family Clinic, LLC

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Date of last update: 21 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website