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Bienville Therapy, LLC

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Company Details

Name: Bienville Therapy, LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 07 Feb 2024 (a year ago)
Business ID: 1428723
ZIP code: 39565
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 6300 East Lake Blvd Ste 301, 6300 East Lake Blvd Ste 301Vancleave, MS 39565

Agent

Name Role Address
Lee Bond Agent 6300 East lake Blvd, Suite 301, Vancleave, MS 39565

Organizer

Name Role Address
Charles R. Crawford Organizer 16075 Poplar Avenue, Suite 500, Memphis, TN 38119

President

Name Role Address
Jeffrey Noblin President 6300 East Lake Blvd Ste 301, Vancleave, MS 39565

Manager

Name Role Address
Lee Bond Manager 6300 East Lake Blvd Ste 301, Vancleave, MS 39565

National Provider Identifier

NPI Number:
1932965522
Certification Date:
2024-02-22

Authorized Person:

Name:
LEE BOND
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
225100000X - Physical Therapist
Is Primary:
Yes

Contacts:

Fax:
2282066398

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-01-30 Annual Report For Bienville Therapy, LLC
Formation Form Filed 2024-02-07 Formation For Bienville Therapy, LLC

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Date of last update: 05 Jun 2025

Sources: Company Profile on Mississippi Secretary of State Website