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Bluegrass Behavioral Health & Consulting Services, PLLC

Company Details

Name: Bluegrass Behavioral Health & Consulting Services, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 15 Aug 2021 (4 years ago)
Organization Date: 15 Aug 2021 (4 years ago)
Last Annual Report: 28 Jul 2024 (10 months ago)
Managed By: Members
Organization Number: 1163892
ZIP code: 40353
City: Mount Sterling, Camargo, Mt Sterling
Primary County: Montgomery County
Principal Office: 601 Doe Run Dr, STE 5, Mt Sterling, KY 40353
Place of Formation: KENTUCKY

Registered Agent

Name Role
Shawnda Carter Registered Agent

Organizer

Name Role
Shawnda Carter Organizer

National Provider Identifier

NPI Number:
1578234449
Certification Date:
2022-08-13

Authorized Person:

Name:
SHAWNDA CARTER
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8594323044

Assumed Names

Name Status Expiration Date
MindKYnd Active 2030-02-19

Filings

Name File Date
Certificate of Assumed Name 2025-02-19
Annual Report 2024-07-28
Annual Report 2023-03-24
Registered Agent name/address change 2023-03-24
Principal Office Address Change 2023-03-24

Sources: Kentucky Secretary of State