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Future Forward Behavioral Health LLC

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Company Details

Name: Future Forward Behavioral Health LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 24 Mar 2021 (4 years ago)
Organization Date: 24 Mar 2021 (4 years ago)
Last Annual Report: 10 Aug 2022 (3 years ago)
Managed By: Members
Organization Number: 1141010
ZIP code: 42301
City: Owensboro, Saint Joseph, St Joseph, Stanley
Primary County: Daviess County
Principal Office: 1020 HALIFAX DRIVE, SUITE 102, OWENSBORO, KY 42301
Place of Formation: KENTUCKY

Member

Name Role
Anessa L Holman Member

Registered Agent

Name Role
ANESSA HOLMAN Registered Agent

National Provider Identifier

NPI Number:
1679141774
Certification Date:
2021-06-17

Authorized Person:

Name:
ANESSA HOLMAN
Role:
APRN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WP0807X - Child & Adolescent Psychiatric/Mental Health Registered Nurse
Is Primary:
Yes

Contacts:

Fax:
2707130788

Filings

Name File Date
Administrative Dissolution 2023-10-04
Principal Office Address Change 2023-02-01
Annual Report 2022-08-10
Registered Agent name/address change 2021-06-03

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Sources: Kentucky Secretary of State