| Name: | Magellan Provider Services, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 05 Apr 2022 (3 years ago) |
| Financial Date End: | 30 Apr 2025 |
| Branch of: | Magellan Provider Services, P.A., FLORIDA (Company Number P21000078104) |
| Entity Number: | 4688406 |
| Place of Formation: | FLORIDA |
| File Number: | 815268 |
| Principal Address: | 6303 COWBOYS WAY, SUITE 350 FRISCO, TX 75034 |
| Mailing Address: | 8621 ROBERT FULTON DR COLUMBIA, MD 21046-2620 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brantley Jolly | Director | 6303 COWBOYS WAY, FRISCO, TX 75034 | 2024-04-16 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brantley Jolly | Vice President | 6303 COWBOYS WAY, FRISCO, TX 75034 | 2024-04-16 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brantley Jolly | Treasurer | 6303 COWBOYS WAY, FRISCO, TX 75034 | 2024-04-16 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brantley Jolly | Secretary | 6303 COWBOYS WAY, FRISCO, TX 75034 | 2024-04-16 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Brantley Jolly | President | 6303 COWBOYS WAY, FRISCO, TX 75034 | 2023-04-19 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005694450 | 2024-04-16 |
| Annual Report | 0005205397 | 2023-04-19 |
| Initial Filing | 0004688406 | 2022-04-05 |
Date of last update: 06 Jan 2025
Sources: Idaho Secretary of State
