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Gautier Wellness LLC

Company Details

Name: Gautier Wellness LLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 09 Jul 2024 (a year ago)
Business ID: 1449205
ZIP code: 39553
County: Jackson
State of Incorporation: MISSISSIPPI
Principal Office Address: 4351 GAUTIER VANCLEAVE RD, 4351 GAUTIER VANCLEAVE RD, Suite AGAUTIER, MS 39553
Fictitious names: Coast Ultrasound

Agent

Name Role Address
Alicia Gatz Agent 14805 Burrell Rd, VANCLEAVE, MS 39565

Organizer

Name Role Address
Alicia Gatz Organizer 14805 Burrell Rd, VANCLEAVE, MS 39565

National Provider Identifier

NPI Number:
1710715370
Certification Date:
2024-07-24

Authorized Person:

Name:
ALICIA GATZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
293D00000X - Physiological Laboratory
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Fictitious Name Registration Filed 2024-07-25 Fictitious Name Registration For Gautier Wellness LLC
Formation Form Filed 2024-07-10 Formation For Gautier Wellness LLC

Date of last update: 14 Apr 2025

Sources: Mississippi Secretary of State