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Dragonfly Psychological Associates LLC

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Company Details

Name: Dragonfly Psychological Associates LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 29 Jun 2020 (5 years ago)
Organization Date: 29 Jun 2020 (5 years ago)
Last Annual Report: 11 Apr 2024 (a year ago)
Managed By: Members
Organization Number: 1102071
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40059
City: Prospect, River Bluff
Primary County: Jefferson County
Principal Office: 9403 Hobblebush St, Prospect, KY 40059
Place of Formation: KENTUCKY

Organizer

Name Role
Michael Wise Organizer
Barb Beauchamp Organizer

Member

Name Role
Barbara Beauchamp Member

Registered Agent

Name Role
Barb Beauchamp Registered Agent

National Provider Identifier

NPI Number:
1811585227
Certification Date:
2021-01-02

Authorized Person:

Name:
DR. BARBARA BEAUCHAMP
Role:
OWNER / PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
851710731
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-04-11
Annual Report 2023-04-06
Annual Report 2022-06-02
Reinstatement Certificate of Existence 2022-02-02
Reinstatement 2022-02-02

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Sources: Kentucky Secretary of State