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KING PSYCHOLOGICAL SERVICES, PLLC

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Company Details

Name: KING PSYCHOLOGICAL SERVICES, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 03 May 2012 (13 years ago)
Organization Date: 03 May 2012 (13 years ago)
Last Annual Report: 28 Jun 2021 (4 years ago)
Managed By: Members
Organization Number: 0828358
ZIP code: 40517
City: Lexington
Primary County: Fayette County
Principal Office: 3268 FOXTALE CT, LEXINGTON, KY 40517
Place of Formation: KENTUCKY

Manager

Name Role
Lisa Michelle King Manager

Organizer

Name Role
LISA M. KING Organizer

Registered Agent

Name Role
MARK A. KING Registered Agent

National Provider Identifier

NPI Number:
1841559986
Certification Date:
2020-08-10

Authorized Person:

Name:
DR. LISA MICHELLE KING
Role:
LICENSED CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
8592230490

Filings

Name File Date
Administrative Dissolution 2022-10-04
Annual Report 2021-06-28
Principal Office Address Change 2020-03-06
Annual Report 2020-03-06
Registered Agent name/address change 2020-03-06

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Sources: Kentucky Secretary of State