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Marshall Mental Health, PLLC

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Company Details

Name: Marshall Mental Health, PLLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Bad
Profit or Non-Profit: Profit
File Date: 09 Aug 2021 (4 years ago)
Organization Date: 09 Aug 2021 (4 years ago)
Last Annual Report: 21 Mar 2023 (2 years ago)
Managed By: Managers
Organization Number: 1163069
ZIP code: 41101
City: Ashland, Summitt, Westwood
Primary County: Boyd County
Principal Office: 1100 Our Ladys Way Ste 234, Ashland, KY 41101
Place of Formation: KENTUCKY

Organizer

Name Role
Carolyn Marie Marshall Organizer

Registered Agent

Name Role
Carolyn Marie Marshall Registered Agent

Manager

Name Role
Carolyn Marie Marshall Manager

National Provider Identifier

NPI Number:
1942975537
Certification Date:
2023-10-11

Authorized Person:

Name:
CAROLYN MARIE MARSHALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
6062223345

Filings

Name File Date
Administrative Dissolution 2024-10-12
Principal Office Address Change 2023-07-26
Registered Agent name/address change 2023-03-21
Annual Report 2023-03-21
Reinstatement 2022-11-30

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Sources: Kentucky Secretary of State