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THE DBT CENTER OF WESTERN KENTUCKY, LLC

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Company Details

Name: THE DBT CENTER OF WESTERN KENTUCKY, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Nov 2011 (14 years ago)
Organization Date: 09 Nov 2011 (14 years ago)
Last Annual Report: 15 May 2017 (8 years ago)
Managed By: Members
Organization Number: 0805257
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 1300 ANDREA ST., SUITE 205, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY

Member

Name Role
Joshua M Smith Member

Organizer

Name Role
BRETT A. REYNOLDS Organizer

Registered Agent

Name Role
BRETT A. REYNOLDS Registered Agent

National Provider Identifier

NPI Number:
1518235183

Authorized Person:

Name:
JOSHUA M SMITH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2707819680

Filings

Name File Date
Administrative Dissolution 2018-10-16
Sixty Day Notice Return 2018-09-25
Annual Report 2017-05-15
Annual Report 2016-03-28
Annual Report 2015-06-03

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Sources: Kentucky Secretary of State