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Davika Mattox PMHNP Recovery and Wellness Behavioral Health PLLC

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Company Details

Name: Davika Mattox PMHNP Recovery and Wellness Behavioral Health PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 31 May 2018 (7 years ago)
Organization Date: 31 May 2018 (7 years ago)
Last Annual Report: 18 Jun 2020 (5 years ago)
Managed By: Managers
Organization Number: 1022533
ZIP code: 40502
City: Lexington
Primary County: Fayette County
Principal Office: 2121 RICHMOND RD STE 135, LEXINGTON, KY 40502
Place of Formation: KENTUCKY

Registered Agent

Name Role
Davika Jon Kuper Mattox Registered Agent
DAVIKA MATTOX Registered Agent

Organizer

Name Role
Davika Jon Kuper Mattox Organizer

Manager

Name Role
Davika Mattox Manager

National Provider Identifier

NPI Number:
1033601992

Authorized Person:

Name:
DAVIKA MATTOX
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution Return 2022-02-10
Administrative Dissolution 2021-10-19
Sixty Day Notice Return 2021-09-08
Registered Agent name/address change 2020-06-18
Principal Office Address Change 2020-06-18

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Sources: Kentucky Secretary of State