Search icon

Wellsprings Wellness, LLC

Company Details

Name: Wellsprings Wellness, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Jan 2019 (6 years ago)
Organization Date: 25 Jan 2019 (6 years ago)
Last Annual Report: 21 Feb 2024 (a year ago)
Managed By: Members
Organization Number: 1046127
ZIP code: 42564
City: West Somerset
Primary County: Pulaski County
Principal Office: Po Box 3044, West Somerset, KY 42564
Place of Formation: KENTUCKY

Organizer

Name Role
Kathy McKee Organizer
Craig Ryan Whitaker Organizer
Tricia L Whitaker Organizer

Registered Agent

Name Role
Craig Ryan Whitaker Registered Agent

National Provider Identifier

NPI Number:
1144886763
Certification Date:
2024-05-10

Authorized Person:

Name:
TRICIA L WHITAKER
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6062003654

Form 5500 Series

Employer Identification Number (EIN):
833288719
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-02-21
Annual Report 2023-04-04
Annual Report 2022-04-11
Annual Report 2021-03-30
Annual Report 2020-06-04

Sources: Kentucky Secretary of State