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Bloom Therapy Services, LLC

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Company Details

Name: Bloom Therapy Services, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 13 Jan 2021 (4 years ago)
Organization Date: 13 Jan 2021 (4 years ago)
Last Annual Report: 16 Jun 2022 (3 years ago)
Managed By: Members
Organization Number: 1128486
ZIP code: 40741
City: London, Marydell, Sasser, Tuttle
Primary County: Laurel County
Principal Office: 16 Violet Ct, London, KY 40741
Place of Formation: KENTUCKY

Member

Name Role
Amber Louise Madden Member

Registered Agent

Name Role
Amber Madden Registered Agent

National Provider Identifier

NPI Number:
1346839487
Certification Date:
2023-04-11

Authorized Person:

Name:
AMBER MADDEN
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report 2022-06-16

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Sources: Kentucky Secretary of State