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Appalachian Mental Health and Addiction Recovery Corporation

Company Details

Name: Appalachian Mental Health and Addiction Recovery Corporation
Legal type: Kentucky Corporation
Status: Inactive
Standing: Bad
Profit or Non-Profit: Non-profit
File Date: 27 May 2021 (4 years ago)
Organization Date: 27 May 2021 (4 years ago)
Organization Number: 1152294
ZIP code: 40915
City: Bimble
Primary County: Knox County
Principal Office: 4671 S Us Highway 25e, Bimble, KY 40915
Place of Formation: KENTUCKY

Registered Agent

Name Role
STEPHANIE SHORT Registered Agent

Director

Name Role
STEPHANIE SHORT Director
ASHLEY BARGO Director
BARBARA BARGO Director

Incorporator

Name Role
STEPHANIE SHORT Incorporator

National Provider Identifier

NPI Number:
1992375828
Certification Date:
2021-07-01

Authorized Person:

Name:
BARBARA BARGO
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6065450497

Filings

Name File Date
Administrative Dissolution 2022-10-04

Sources: Kentucky Secretary of State