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Purpose Driven Support Services, LLC

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Company Details

Name: Purpose Driven Support Services, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 May 2016 (9 years ago)
Organization Date: 03 May 2016 (9 years ago)
Last Annual Report: 18 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 0951597
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41647
City: Mc Dowell, E Mc Dowell, East Mc Dowell, Orkney
Primary County: Floyd County
Principal Office: 9575 KY ROUTE 122, PO BOX 41, MCDOWELL, KY 41647
Place of Formation: KENTUCKY

Member

Name Role
Samantha Jo Stumbo Member

Registered Agent

Name Role
Samantha J Stumbo Registered Agent
SAMANTHA J STUMBO Registered Agent

Organizer

Name Role
Samantha J Stumbo Organizer

National Provider Identifier

NPI Number:
1437949849
Certification Date:
2025-04-29

Authorized Person:

Name:
SAMANTHA STUMBO
Role:
CLINIC SUPERVISOR/EXECUTIVE DIRECTO
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251C00000X - Developmentally Disabled Services Day Training Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM2800X - Methadone Clinic
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Permits

Agency Interest Id Program Activity Type Current Milestone Issued Date Milestone Date
184473 Water Resources Floodplain New Approval Issued 2024-11-25 2024-11-25
Document Name Permit 35466 Cover Letter.pdf
Date 2024-11-25
Document Download
Document Name Permit 35466 Requirements.pdf
Date 2024-11-25
Document Download

Filings

Name File Date
Annual Report 2024-06-18
Registered Agent name/address change 2023-03-30
Annual Report 2023-03-30
Annual Report 2022-03-21
Principal Office Address Change 2021-06-29

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Sources: Kentucky Secretary of State