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Bluegrass Brain Health LLC

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Company Details

Name: Bluegrass Brain Health LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Aug 2022 (3 years ago)
Organization Date: 23 Aug 2022 (3 years ago)
Last Annual Report: 15 May 2024 (a year ago)
Managed By: Managers
Organization Number: 1227449
ZIP code: 40356
City: Nicholasville
Primary County: Jessamine County
Principal Office: 120 Mill Springs Cir, Nicholasville, KY 40356
Place of Formation: KENTUCKY

Organizer

Name Role
Amy Jill Bassel Organizer

Manager

Name Role
Amy Bassel Manager

Registered Agent

Name Role
Amy Jill Bassel Registered Agent

National Provider Identifier

NPI Number:
1992412506
Certification Date:
2025-03-12

Authorized Person:

Name:
AMY BASSEL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
883843673
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Assumed Names

Name Status Expiration Date
ELLIE MENTAL HEALTH LEXINGTON PALOMAR Active 2027-08-23

Filings

Name File Date
Annual Report 2024-05-15
Annual Report 2023-05-23
Certificate of Assumed Name 2022-08-23

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Sources: Kentucky Secretary of State