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ATHENA HEALTH AND WELLNESS, PLLC

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Company Details

Name: ATHENA HEALTH AND WELLNESS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Feb 2015 (10 years ago)
Organization Date: 23 Feb 2015 (10 years ago)
Last Annual Report: 11 Jul 2024 (a year ago)
Managed By: Managers
Organization Number: 0914830
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40217
City: Louisville, Parkway Village, Parkway Vlg
Primary County: Jefferson County
Principal Office: 1169 EASTERN PARKWAY, SUITE 200, LOUISVILLE, KY 40217
Place of Formation: KENTUCKY

Manager

Name Role
Ashley Danielle Anderson Manager

Registered Agent

Name Role
ASHLEY D MILLER Registered Agent

Organizer

Name Role
STEPHEN R CUSTER Organizer

National Provider Identifier

NPI Number:
1922492230
Certification Date:
2025-04-03

Authorized Person:

Name:
DR. ASHLEY D ANDERSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
No
Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5024257658

Filings

Name File Date
Annual Report 2024-07-11
Registered Agent name/address change 2023-08-22
Annual Report 2023-08-22
Annual Report 2022-03-07
Principal Office Address Change 2022-03-07

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
2000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Sources: Kentucky Secretary of State