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LIFECARE MENTAL HEALTH SERVICES, LLC

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Company Details

Name: LIFECARE MENTAL HEALTH SERVICES, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Jun 2019 (6 years ago)
Organization Date: 28 Jun 2019 (6 years ago)
Last Annual Report: 08 Jan 2025 (5 months ago)
Managed By: Members
Organization Number: 1063524
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40214
City: Louisville
Primary County: Jefferson County
Principal Office: 502 Dale Ave., Louisville, KY 40214
Place of Formation: KENTUCKY

Member

Name Role
Matthew P White Member

Organizer

Name Role
Matthew P White Organizer

Registered Agent

Name Role
Matt White Registered Agent
Matthew P White Registered Agent

National Provider Identifier

NPI Number:
1396337291
Certification Date:
2023-04-10

Authorized Person:

Name:
MATTHEW WHITE
Role:
FOUNDER/PRINCIPAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

Former Company Names

Name Action
KENTUCKY WELLNESS COUNSELING SERVICES, LLC Old Name
Matt White Wellness Counseling LLC Old Name

Assumed Names

Name Status Expiration Date
Taproot Counseling Services Inactive 2024-08-29

Filings

Name File Date
Principal Office Address Change 2025-01-08
Registered Agent name/address change 2025-01-08
Annual Report 2025-01-08
Principal Office Address Change 2024-06-30
Annual Report 2024-06-30

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Sources: Kentucky Secretary of State