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Bluegrass Behavioral Health PSC

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Company Details

Name: Bluegrass Behavioral Health PSC
Legal type: Kentucky Professional Services Corp
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 16 Jun 2018 (7 years ago)
Organization Date: 16 Jun 2018 (7 years ago)
Last Annual Report: 05 Apr 2025 (4 months ago)
Organization Number: 1024175
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40216
City: Louisville, Shively
Primary County: Jefferson County
Principal Office: 3955 DIXIE HWY, LOUISVILLE, KY 40216
Place of Formation: KENTUCKY
Authorized Shares: 100

Registered Agent

Name Role
CLAYTON C. BARCLAY JR., MD Registered Agent
Robert W Byrd Registered Agent

Shareholder

Name Role
Robert W Byrd Shareholder
Clayton C Barclay Jr., MD Shareholder

Incorporator

Name Role
Robert W Byrd Incorporator

President

Name Role
Clayton C Barclay Jr., MD President

Director

Name Role
Clayton C Barclay Jr., MD Director

National Provider Identifier

NPI Number:
1831683879

Authorized Person:

Name:
DR. ROBERT W BYRD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207QA0401X - Addiction Medicine (Family Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
5027498720

Assumed Names

Name Status Expiration Date
ACUTE PAIN AND REHAB Active 2029-05-08
INJURY-CARE CENTER OF NORTHERN KENTUCKY Active 2026-03-31

Filings

Name File Date
Annual Report 2025-04-05
Annual Report 2024-05-18
Certificate of Assumed Name 2024-05-08
Annual Report 2023-01-25
Registered Agent name/address change 2023-01-18

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Sources: Kentucky Secretary of State