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Transformative Justice Mental Health Clinic PLLC

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Company Details

Name: Transformative Justice Mental Health Clinic PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 31 May 2022 (3 years ago)
Organization Date: 31 May 2022 (3 years ago)
Last Annual Report: 30 May 2024 (a year ago)
Managed By: Members
Organization Number: 1211868
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40206
City: Louisville
Primary County: Jefferson County
Principal Office: 225 NORTH CLIFTON AVENUE, SUITE 6, Richmond, KY 40206
Place of Formation: KENTUCKY

Member

Name Role
Ida Dickie Member

Registered Agent

Name Role
IDA DICKIE Registered Agent

Organizer

Name Role
Morgan Noble Organizer

U.S. Small Business Administration Profile

Phone Number:
Contact Person:
DR. IDA DICKIE
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Woman Owned
User ID:
P3139907

Unique Entity ID

Unique Entity ID:
DPJQJL8WGY16
CAGE Code:
9KNZ0
UEI Expiration Date:
2026-01-21

Business Information

Activation Date:
2025-01-23
Initial Registration Date:
2023-05-11

Commercial and government entity program

CAGE number:
9KNZ0
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-23
CAGE Expiration:
2030-01-23
SAM Expiration:
2026-01-21

Contact Information

POC:
DR. IDA L. DICKIE

National Provider Identifier

NPI Number:
1205534062
Certification Date:
2023-02-21

Authorized Person:

Name:
DR. IDA DICKIE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-05-30
Principal Office Address Change 2024-05-30
Annual Report 2023-05-22
Registered Agent name/address change 2023-05-22

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Sources: Kentucky Secretary of State