Company Details
Name: |
Providence Wellness, LLC |
Jurisdiction: |
MISSISSIPPI |
Business Type: |
Limited Liability Company |
Status: |
Good Standing
|
Effective Date: |
01 Jan 2025 (8 months ago)
|
Business ID: |
1464764 |
State of Incorporation: |
MISSISSIPPI |
Agent
Name |
Role |
Address |
Babara L Tapps
|
Agent
|
206 Grand Oak Blvd, Clinton, MS 39056
|
Organizer
Name |
Role |
Address |
Barbara L Tapps
|
Organizer
|
206 Grand Oak Blvd, Clinton, MS 39056
|
National Provider Identifier
Certification Date:
2025-04-22
Authorized Person:
Taxonomy:
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Contacts:
Filings
Type |
Status |
Filed Date |
Description |
Formation Form
|
Filed
|
2024-11-08
|
Formation For Providence Wellness, LLC
|
This company hasn't received any reviews.
Date of last update: 23 Jul 2025
Sources:
Company Profile on Mississippi Secretary of State Website