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GREEN MEADOWS WELLNESS CENTER ONE LLC

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Company Details

Name: GREEN MEADOWS WELLNESS CENTER ONE LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 12 Oct 2018 (7 years ago)
Organization Date: 12 Oct 2018 (7 years ago)
Last Annual Report: 14 Feb 2025 (4 months ago)
Managed By: Managers
Organization Number: 1036088
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40701
City: Corbin, Keavy, Woodbine
Primary County: Whitley County
Principal Office: 8554 KY RTE 1232, CORBIN, KY 40701
Place of Formation: KENTUCKY

Manager

Name Role
Sandra Joan Nantz Manager

Registered Agent

Name Role
SANDRA JOAN NANTZ Registered Agent

Organizer

Name Role
SANDRA JOAN NANTZ Organizer

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
FYWTQA92H6H3
CAGE Code:
906X3
UEI Expiration Date:
2022-06-05

Business Information

Activation Date:
2021-05-10
Initial Registration Date:
2021-04-27

National Provider Identifier

NPI Number:
1902377864
Certification Date:
2022-09-08

Authorized Person:

Name:
BILLY FITCH
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
103TS0200X - School Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary:
No
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
103TF0000X - Family Psychologist
Is Primary:
No
Selected Taxonomy:
103TH0004X - Health Psychologist
Is Primary:
No
Selected Taxonomy:
103TH0100X - Health Service Psychologist
Is Primary:
No
Selected Taxonomy:
103TP0814X - Psychoanalysis Psychologist
Is Primary:
No
Selected Taxonomy:
103TP2701X - Group Psychotherapy Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
6062617312

Filings

Name File Date
Annual Report 2025-02-14
Principal Office Address Change 2025-02-14
Registered Agent name/address change 2025-02-14
Annual Report 2024-06-21
Annual Report 2023-05-11

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Sources: Kentucky Secretary of State