\ H1B CASE NUMBER I-200-21160-384156



CASE NUNBER: I-200-21160-384156

LCA CASE NUMBERI-200-21160-384156
STATUSCertified - Withdrawn
LCA CASE SUBMIT2021-06-09
DECISION DATE2022-08-05
ORIGINAL CERT DATE2021-06-16
VISA CLASSH-1B
LCA CASE JOB TITLEPSYCHIATRIST
SOC CODE29-1066.00
SOC TITLEPsychiatrists
FULL TIME POSITIONFalse
LCA CASE EMPLOYMENT START DATE2021-06-28
END DATE2024-06-27
TOTAL WORKER POSITIONS1
NEW EMPLOYMENT0
CONTINUED EMPLOYMENT0
CHANGE PREVIOUS EMPLOYMENT1
NEW CONCURRENT EMPLOYMENT0
CHANGE EMPLOYER0
AMENDED PETITION0
LCA CASE EMPLOYER NAMEFORREST GENERAL HOSPITAL
TRADE NAME DBAPINE GROVE BEHAVIORAL HEALTH & ADDICTION SERVICES
EMPLOYER ADDRESS12255 BROADWAY DRIVE
EMPLOYER CITYHATTIESBURG
EMPLOYER STATEMS
EMPLOYER POSTAL CODE39402
EMPLOYER COUNTRYUNITED STATES OF AMERICA
EMPLOYER PHONE16012884801
NAICS CODE622110
EMPLOYER POC LAST NAMEWOODARD
EMPLOYER POC FIRST NAMER.
EMPLOYER POC MIDDLE NAMEANDY
EMPLOYER POC JOB TITLEPRESIDENT
EMPLOYER POC ADDRESS12255 BROADWAY DRIVE
EMPLOYER POC CITYHATTIESBURG
EMPLOYER POC STATEMS
EMPLOYER POC POSTAL CODE39402
EMPLOYER POC COUNTRYUNITED STATES OF AMERICA
EMPLOYER POC PHONE16012884801
EMPLOYER POC EMAILcwade@forrestgeneral.com
AGENT REPRESENTING EMPLOYERTrue
AGENT ATTORNEY LAST NAMEWALKER
AGENT ATTORNEY FIRST NAMEBARRY
AGENT ATTORNEY MIDDLE NAMEJOE
AGENT ATTORNEY ADDRESS1P O BOX 1023
AGENT ATTORNEY CITYTUPELO
AGENT ATTORNEY STATEMS
AGENT ATTORNEY POSTAL CODE38802
AGENT ATTORNEY COUNTRYUNITED STATES OF AMERICA
AGENT ATTORNEY PHONE16628410629
AGENT ATTORNEY EMAIL ADDRESSdanane@walker-immigration.com
LAWFIRM NAME BUSINESS NAMEBARRY J WALKER, ATTY P A
STATE OF HIGHEST COURTMS
NAME OF HIGHEST STATE COURTSTATE SUPREME COURT OF MISSISSIPPI
WORKSITE WORKERS1
SECONDARY ENTITYFalse
WORKSITE ADDRESS12255 BROADWAY DRIVE
LCA CASE WORKLOC1 CITYHATTIESBURG
WORKSITE COUNTYFORREST
LCA CASE WORKLOC1 STATEMS
WORKSITE POSTAL CODE39402
LCA CASE WAGE RATE FROM218.75
LCA CASE WAGE RATE UNITHour
PREVAILING WAGE53.63
PW UNIT OF PAYHour
PW WAGE LEVELII
PW OES YEAR7/1/2020 - 6/30/2021
TOTAL WORKSITE LOCATIONS2
AGREE TO LC STATEMENTTrue
H 1B DEPENDENTFalse
WILLFUL VIOLATORFalse
PUBLIC DISCLOSUREDisclose Employment
PREPARER LAST NAMEWALKER
PREPARER FIRST NAMEBARRY
PREPARER MIDDLE INITIALJ.
PREPARER BUSINESS NAMEBARRY J WALKER, ATTY P A
PREPARER EMAILdanane@walker-immigration.com