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ROSCOE L DOUGLAS, PH.D., P.A.

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Company Details

Name: ROSCOE L DOUGLAS, PH.D., P.A.
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Dissolved
Effective Date: 23 Dec 1980 (45 years ago)
Business ID: 204566
ZIP code: 39303
County: Lauderdale
State of Incorporation: MISSISSIPPI
Principal Office Address: 1207 White Oak Drive , P O Box 3545Meridian, MS 39303

Agent

Name Role Address
ROSCOE L DOUGLAS Agent 1207 White Oak Drive;PO Box 3545, Meridian, MS 39303

Director

Name Role Address
Roscoe L Douglas Director PO Box3545, Meridian, MS 39303
Bobbie O Douglas Director PO Box3545, Meridian, MS 39303

President

Name Role Address
Roscoe L Douglas President PO Box3545, Meridian, MS 39303

Secretary

Name Role Address
Bobbie O Douglas Secretary PO Box3545, Meridian, MS 39303

Vice President

Name Role Address
Bobbie O Douglas Vice President PO Box3545, Meridian, MS 39303

National Provider Identifier

NPI Number:
1760686299

Authorized Person:

Name:
ROSCOE LORMER DOUGLAS
Role:
CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
6014824248

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2018-12-10 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2018-09-07 Notice to Dissolve/Revoke
Annual Report Filed 2017-07-27 Annual Report For ROSCOE L DOUGLAS, PH.D., P.A.
Annual Report Filed 2016-09-23 Annual Report For ROSCOE L DOUGLAS, PH.D., P.A.
Notice to Dissolve/Revoke Filed 2016-09-06 Notice to Dissolve/Revoke
Annual Report Filed 2015-03-20 Annual Report For ROSCOE L DOUGLAS, PH.D., P.A.
Annual Report Filed 2014-04-07 Annual Report
Amendment Form Filed 2013-04-16 Amendment
Annual Report Filed 2013-04-15 Annual Report
Annual Report Filed 2012-08-22 Annual Report

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Date of last update: 24 Jul 2025

Sources: Company Profile on Mississippi Secretary of State Website