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Revive Wellness L.L.C.

Company Details

Name: Revive Wellness L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 May 2021 (4 years ago)
Organization Date: 04 May 2021 (4 years ago)
Last Annual Report: 07 Feb 2024 (a year ago)
Managed By: Managers
Organization Number: 1148769
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40744
City: London
Primary County: Laurel County
Principal Office: 4192 Barbourville Rd, London, KY 40744
Place of Formation: KENTUCKY

Registered Agent

Name Role
Zach Coffey Registered Agent
ZACH COFFEY Registered Agent

Organizer

Name Role
Zach Coffey Organizer

Manager

Name Role
Zach Coffey Manager

National Provider Identifier

NPI Number:
1487421673
Certification Date:
2023-12-07

Authorized Person:

Name:
MICHELLE CHAMBERS
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
2083B0002X - Obesity Medicine (Preventive Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2024-04-02
Annual Report 2024-02-07
Annual Report 2023-02-01
Registered Agent name/address change 2023-02-01
Principal Office Address Change 2023-02-01

Sources: Kentucky Secretary of State