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CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC

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Company Details

Name: CUMBERLAND FAMILY BEHAVIORAL HEALTH, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
File Date: 15 Dec 2004 (21 years ago)
Organization Date: 15 Dec 2004 (21 years ago)
Last Annual Report: 05 Aug 2020 (5 years ago)
Managed By: Members
Organization Number: 0601375
ZIP code: 40741
City: London, Marydell, Sasser, Tuttle
Primary County: Laurel County
Principal Office: 108 SARA LANE, LONDON, KY 40741
Place of Formation: KENTUCKY

Registered Agent

Name Role
RAQUEL F. VASQUEZ Registered Agent

Member

Name Role
Raquel F Vasquez Member

Organizer

Name Role
RAQUEL F. VASQUEZ Organizer

National Provider Identifier

NPI Number:
1659381580

Authorized Person:

Name:
RAQUEL F. VASQUEZ
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
6068771958

Filings

Name File Date
Administrative Dissolution Return 2022-02-08
Administrative Dissolution 2021-10-19
Sixty Day Notice Return 2021-09-03
Annual Report 2020-08-05
Annual Report 2019-05-07

USAspending Awards / Financial Assistance

Date:
2020-04-30
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
31700.00
Total Face Value Of Loan:
31700.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
31700
Current Approval Amount:
31700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
31885.62

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Sources: Kentucky Secretary of State