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Evolve Early Intervention LLC

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Company Details

Name: Evolve Early Intervention LLC
Legal type: Foreign Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 19 Oct 2021 (4 years ago)
Organization Date: 19 Oct 2021 (4 years ago)
Authority Date: 19 Oct 2021 (4 years ago)
Last Annual Report: 12 Aug 2024 (10 months ago)
Organization Number: 1173538
Principal Office: 4101 Rodenberg Ave, Evansville, IN 47720
Place of Formation: INDIANA

Registered Agent

Name Role
Kasie Ballard Registered Agent

Authorized Rep

Name Role
Kasie Ballard Authorized Rep

National Provider Identifier

NPI Number:
1710640388
Certification Date:
2021-11-04

Authorized Person:

Name:
MRS. KASIE BALLARD
Role:
OWNER/OCCUPATIONAL THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
2080P0006X - Developmental - Behavioral Pediatrics Physician
Is Primary:
No
Selected Taxonomy:
2080P0008X - Pediatric Neurodevelopmental Disabilities Physician
Is Primary:
No
Selected Taxonomy:
222Q00000X - Developmental Therapist
Is Primary:
No
Selected Taxonomy:
2251P0200X - Pediatric Physical Therapist
Is Primary:
No
Selected Taxonomy:
225XP0200X - Pediatric Occupational Therapist
Is Primary:
No
Selected Taxonomy:
235Z00000X - Speech-Language Pathologist
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
2702120271

Filings

Name File Date
Annual Report 2024-08-12
Annual Report 2023-03-13
Annual Report 2022-09-30

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Sources: Kentucky Secretary of State