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Bluegrass Kids Therapy Center, LLC

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Company Details

Name: Bluegrass Kids Therapy Center, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 16 May 2021 (4 years ago)
Organization Date: 16 May 2021 (4 years ago)
Last Annual Report: 03 Oct 2022 (3 years ago)
Managed By: Managers
Organization Number: 1150504
ZIP code: 42431
City: Madisonville
Primary County: Hopkins County
Principal Office: 640 Gill Field Rd, Madisonville, KY 42431
Place of Formation: KENTUCKY

Registered Agent

Name Role
Katlyn Daniel Shaw Registered Agent

Manager

Name Role
Bluegrass Kids Therapy Center, LLC Manager

Organizer

Name Role
Katlyn Daniel Shaw Organizer

National Provider Identifier

NPI Number:
1043976152
Certification Date:
2022-10-18

Authorized Person:

Name:
KATLYN SHAW
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
225X00000X - Occupational Therapist
Is Primary:
No
Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
Yes

Contacts:

Filings

Name File Date
Administrative Dissolution 2023-10-04
Annual Report Amendment 2022-10-03
Annual Report 2022-07-10

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Sources: Kentucky Secretary of State