| Entity Name: | Lions Mane Health PLLC |
| Jurisdiction: | Connecticut |
| Legal type: | LLC |
| Citizenship: | Domestic |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 04 Jun 2024 |
| Business ALEI: | 3016592 |
| Annual report due: | 31 Mar 2025 |
| NAICS code: | 621111 - Offices of Physicians (except Mental Health Specialists) |
| Business address: | 203 Main St, Middletown, CT, 06457-4402, United States |
| Mailing address: | 203 Main St, Middletown, CT, United States, 06457-4402 |
| ZIP code: | 06457 |
| County: | Middlesex |
| Place of Formation: | CONNECTICUT |
| E-Mail: | yalax0731@gmail.com |
| Name | Role | Mailing address | Phone | Residence address | |
|---|---|---|---|---|---|
| Christopher Tagliavini | Agent | 330 Tunxis Rd, West Hartford, CT, 06107-3100, United States | +1 860-803-0185 | ctagliavini@gamedaymenshealth.com | 330 Tunxis Rd, West Hartford, CT, 06107-3100, United States |
| Name | Role | Residence address |
|---|---|---|
| Marko Lujic | Officer | 25 River Road, New Haven, CT, 06473, United States |
| Credential | Credential type | Status | Status reason | Issue date | Effective date | Expiration date |
|---|---|---|---|---|---|---|
| CLAB.0001123 | Clinical Laboratory | PENDING | APPLICATION PENDING | No data | No data | No data |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012654307 | 2024-06-04 | No data | Business Formation | Certificate of Organization | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
