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Breakthrough Soul Evolution LLC

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Company Details

Name: Breakthrough Soul Evolution LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 20 Jul 2022 (3 years ago)
Organization Date: 20 Jul 2022 (3 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1221220
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42501
City: Somerset, Acorn, Alcalde, Elihu, Poplarville, Publ...
Primary County: Pulaski County
Principal Office: 308 Stringer Dr, Somerset, KY 42501
Place of Formation: KENTUCKY

Registered Agent

Name Role
Charlene L Crawford Registered Agent

Organizer

Name Role
Charlene L Crawford Organizer

National Provider Identifier

NPI Number:
1639883390
Certification Date:
2023-01-08

Authorized Person:

Name:
CHARLIE CRAWFORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
921381504
Plan Year:
2023
Number Of Participants:
13
Sponsors Telephone Number:

Filings

Name File Date
Annual Report 2024-06-25
Annual Report 2023-09-11

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Sources: Kentucky Secretary of State