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BROADLEAF BEHAVIORAL SERVICES LLC

Company Details

Name: BROADLEAF BEHAVIORAL SERVICES LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 03 Jan 2019 (6 years ago)
Organization Date: 11 Jan 2019 (6 years ago)
Last Annual Report: 23 Mar 2025 (2 months ago)
Managed By: Members
Organization Number: 1043383
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 41030
City: Crittenden
Primary County: Grant County
Principal Office: 840 Bagby Rd. , Crittenden, KY 41030
Place of Formation: KENTUCKY

Organizer

Name Role
Evan Young Organizer
Evan Wallace Young Organizer

Registered Agent

Name Role
Evan Wallace Young Registered Agent

National Provider Identifier

NPI Number:
1467123752
Certification Date:
2021-09-26

Authorized Person:

Name:
MR. EVAN YOUNG
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
Commonwealth Collaborative Services , LLC Old Name

Filings

Name File Date
Annual Report 2025-03-23
Annual Report 2024-06-09
Annual Report 2023-09-07
Annual Report 2022-07-10
Annual Report 2021-06-07

Sources: Kentucky Secretary of State