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Xceptional Health & Wellness, PLLC

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Company Details

Name: Xceptional Health & Wellness, PLLC
Jurisdiction: MISSISSIPPI
Business Type: Limited Liability Company
Status: Dissolved
Effective Date: 21 Feb 2012 (13 years ago)
Business ID: 996348
ZIP code: 38672
County: DeSoto
State of Incorporation: MISSISSIPPI
Principal Office Address: 5779 GETWELL RD, BLDG. D., STE. 3SOUTHAVEN, MS 38672

Agent

Name Role Address
Petrides, Tracey F Agent 5779 Getwell Road, Building D, Suite 3, Southaven, MS 38672

Manager

Name Role Address
Tracey Petriedes Manager 2385 APPLETON DRIVE, SOUTHAVEN, MS 38672

Member

Name Role Address
Tracey Petriedes Member 2385 APPLETON DRIVE, SOUTHAVEN, MS 38672

National Provider Identifier

NPI Number:
1770857443

Authorized Person:

Name:
MRS. TRACEY F PETRIDES
Role:
OWNER/MD
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6625106508

Filings

Type Status Filed Date Description
Admin Dissolution Filed 2015-12-08 Admin Dissolution: AR
Notice to Dissolve/Revoke Filed 2015-09-16 Notice to Dissolve/Revoke
Annual Report LLC Filed 2014-11-07 Annual Report For Xceptional Health & Wellness, PLLC
Notice to Dissolve/Revoke Filed 2014-10-13 Notice to Dissolve/Revoke
Annual Report LLC Filed 2013-04-23 Annual Report LLC
Formation Form Filed 2012-02-21 Formation

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Date of last update: 11 May 2025

Sources: Company Profile on Mississippi Secretary of State Website