| Entity Name: | Balanced Wellness Primary Care LLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report past due |
| Date Formed: | 14 Mar 2013 (Companies founded in March 2013) |
| Business ALEI: | 1099891 |
| Annual report due: | 31 Mar 2024 |
| NAICS code: | 621399 - Offices of All Other Miscellaneous Health Practitioners |
| Business address: | 620 NORWICH NEW LONDON TURNPIKE, UNCASVILLE, CT, 06382, United States |
| Mailing address: | P.O. BOX 334 620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT, United States, 06382 |
| ZIP code: | 06382 (Companies in New London, 06382) |
| County: | New London |
| Place of Formation: | CONNECTICUT |
| E-Mail: | kmahan72@yahoo.com |
| Name | Role | Business address | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|---|
| KRISTIN M. MAHAN | Agent | 620 NORWICH NEW LONDON TURNPIKE, UNCASVILLE, CT, 06382, United States | 620 NORWICH NEW LONDON TURNPIKE, UNCASVILLE, CT, 06382, United States | +1 860-204-2326 | kmahan72@yahoo.com | 620 NORWICH NEW LONDON TURNPIKE, UNCASVILLE, CT, 06382, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| KRISTIN MAHAN | Officer | 620 NORWICH NEW LONDON TPKE, UNCASVILLE, CT, 06382, United States | 28 HARRIS FULLER RD., PRESTON, CT, 06365, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | KRISTIN MAHAN, APRN, FNP-C, LLC | Balanced Wellness Primary Care LLC | 2021-07-20 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0010202998 | 2023-02-10 | No data | Annual Report | Annual Report | 2022 |
| BF-0011303790 | 2023-02-10 | No data | Annual Report | Annual Report | No data |
| BF-0009783997 | 2021-07-20 | No data | Annual Report | Annual Report | No data |
| BF-0010088484 | 2021-07-20 | 2021-07-20 | Name Change Amendment | Certificate of Amendment | No data |
| 0006895624 | 2020-04-30 | No data | Annual Report | Annual Report | 2020 |
| 0006895616 | 2020-04-30 | No data | Annual Report | Annual Report | 2018 |
| 0006895604 | 2020-04-30 | No data | Annual Report | Annual Report | 2015 |
| 0006895606 | 2020-04-30 | No data | Annual Report | Annual Report | 2016 |
| 0006895611 | 2020-04-30 | No data | Annual Report | Annual Report | 2017 |
| 0006895619 | 2020-04-30 | No data | Annual Report | Annual Report | 2019 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
