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Cardinal Behavioral Health, PLLC

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Company Details

Name: Cardinal Behavioral Health, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 Aug 2021 (4 years ago)
Organization Date: 31 Aug 2021 (4 years ago)
Last Annual Report: 01 Apr 2024 (a year ago)
Managed By: Members
Organization Number: 1166511
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42104
City: Bowling Green
Primary County: Warren County
Principal Office: 719 DISHMAN LN EXT, STE C, BOWLING GREEN, KY 42104
Place of Formation: KENTUCKY

Organizer

Name Role
JOELLEN MARION Organizer

Registered Agent

Name Role
JOELLEN MARION Registered Agent

Member

Name Role
Joellen Marion Member

National Provider Identifier

NPI Number:
1366112823
Certification Date:
2024-11-08

Authorized Person:

Name:
JOELLEN MARION
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2702008781

Filings

Name File Date
Annual Report 2024-04-01
Registered Agent name/address change 2024-01-19
Principal Office Address Change 2024-01-19
Annual Report 2023-03-21
Annual Report 2022-08-08

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Sources: Kentucky Secretary of State