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Momology Maternal Wellness Club, LLC

Company Details

Name: Momology Maternal Wellness Club, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 30 Dec 2019 (5 years ago)
Organization Date: 30 Dec 2019 (5 years ago)
Last Annual Report: 01 Apr 2024 (a year ago)
Managed By: Members
Organization Number: 1081618
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40216
City: Louisville, Shively
Primary County: Jefferson County
Principal Office: 4614 Dohn Rd, Louisville, KY 40216
Place of Formation: KENTUCKY

Registered Agent

Name Role
Ana'Neicia Williams Registered Agent

Organizer

Name Role
Ana'Neicia Williams Organizer

Member

Name Role
Ana'Neicia Williams Member

National Provider Identifier

NPI Number:
1629664313
Certification Date:
2020-12-16

Authorized Person:

Name:
JACQUELINE SANDERS
Role:
CREDENTIALING ADMINISTRATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
5026321432

Filings

Name File Date
Annual Report 2024-04-01
Annual Report 2023-06-15
Annual Report 2022-03-14
Annual Report 2021-06-15
Reinstatement Certificate of Existence 2021-01-26

Sources: Kentucky Secretary of State