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Clinical Neuroscience Group, PLLC

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Company Details

Name: Clinical Neuroscience Group, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 19 Sep 2007 (18 years ago)
Business ID: 919416
State of Incorporation: MISSISSIPPI

Agent

Name Role Address
LATHAM & BURWELL PLLC Agent 618 Crescent Blvd. #200, Ridgeland, MS 39157

Member

Name Role Address
W Jeffrey Collier Member 618 Crescent Blvd. #200, Ridgeland, MS 39157

National Provider Identifier

NPI Number:
1710175260

Authorized Person:

Name:
DR. JOHN ELGIN WILKAITIS
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filings

Type Status Filed Date Description
Failure to File AR Filed 2011-12-05 Failure to File AR
Formation Form Filed 2007-09-19 Formation

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Date of last update: 07 May 2025

Sources: Company Profile on Mississippi Secretary of State Website