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EVANS & ASSOCIATES, PSC

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Company Details

Name: EVANS & ASSOCIATES, PSC
Legal type: Kentucky Professional Services Corp
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 Oct 2003 (22 years ago)
Organization Date: 16 Oct 2003 (22 years ago)
Last Annual Report: 05 Jul 2016 (9 years ago)
Organization Number: 0570246
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 2900 WINCHESTER AVENUE, ASHLAND, KY 41101
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
ANDREA D. EVANS, PSY.D. Registered Agent

Sole Officer

Name Role
Andrea D. Evans Sole Officer

Shareholder

Name Role
Andrea D. Evans Shareholder

Incorporator

Name Role
ANDREA D EVANS Incorporator

Director

Name Role
Andrea D. Evans Director

National Provider Identifier

NPI Number:
1326084286
Certification Date:
2020-06-12

Authorized Person:

Name:
DR. ANDREA DAWN EVANS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2017-10-09
Annual Report 2016-07-05
Principal Office Address Change 2016-07-05
Principal Office Address Change 2015-03-30
Registered Agent name/address change 2015-03-30

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Sources: Kentucky Secretary of State