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WELLSPACE PSYCHIATRY, LLC

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Company Details

Name: WELLSPACE PSYCHIATRY, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 28 Oct 2022 (3 years ago)
Organization Date: 28 Oct 2022 (3 years ago)
Last Annual Report: 14 Apr 2025 (2 months ago)
Managed By: Members
Organization Number: 1239344
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40241
City: Louisville, Barbourmeade, Broeck Pointe, Brownsboro ...
Primary County: Jefferson County
Principal Office: 9700 Park Plaza Ave, Suite 210, Louisville, KY 40241
Place of Formation: KENTUCKY

Member

Name Role
Mark Bush Member
Thomas Federer Member

Registered Agent

Name Role
EDLG Service Company, LLC Registered Agent

National Provider Identifier

NPI Number:
1710694468
Certification Date:
2023-02-20

Authorized Person:

Name:
THOMAS J FEDERER
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Assumed Names

Name Status Expiration Date
WELLSPACE PSYCHIATRY Active 2027-11-14

Filings

Name File Date
Annual Report 2025-04-14
Annual Report 2024-06-03
Principal Office Address Change 2024-06-03
Principal Office Address Change 2023-06-12
Annual Report 2023-06-12

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Sources: Kentucky Secretary of State