Search icon

SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC

Company Details

Name: SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Good Standing
Effective Date: 28 Feb 2011 (14 years ago)
Business ID: 979348
ZIP code: 39404
County: Forrest
State of Incorporation: MISSISSIPPI
Principal Office Address: 1 Commerce Drive, Ste 106HATTIESBURG, MS 39404

Agent

Name Role Address
Datz, Geralyn Agent 1 Commerce Drive Ste 106, Hattiesburg, MS 39402

Member

Name Role Address
Geralyn Datz Member 1 Commerce Drive, Ste 106, HATTIESBURG, MS 39402

National Provider Identifier

NPI Number:
1487950564

Authorized Person:

Name:
DR. GERALYN DATZ
Role:
CLINICAL DIRECTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TH0004X - Health Psychologist
Is Primary:
Yes

Contacts:

Fax:
6012551619

Filings

Type Status Filed Date Description
Annual Report LLC Filed 2025-04-07 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2024-07-22 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2024-06-07 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Amendment Form Filed 2023-04-26 Amendment For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2023-04-04 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2022-04-26 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2021-04-08 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2020-04-22 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2019-04-14 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC
Annual Report LLC Filed 2018-04-09 Annual Report For SOUTHERN BEHAVIORAL MEDICINE ASSOCIATES PLLC

USAspending Awards / Financial Assistance

Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
57620.00
Total Face Value Of Loan:
57620.00

Date of last update: 10 May 2025

Sources: Company Profile on Mississippi Secretary of State Website