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Raven Rock Wellness Center, LLC

Company Details

Name: Raven Rock Wellness Center, LLC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Non-profit
File Date: 19 Jan 2023 (2 years ago)
Organization Date: 19 Jan 2023 (2 years ago)
Managed By: Members
Organization Number: 1254350
ZIP code: 40380
City: Stanton, Bowen, Patsey, Rosslyn
Primary County: Powell County
Principal Office: 221 Halls Rd, Stanton, KY 40380
Place of Formation: KENTUCKY

Registered Agent

Name Role
DANA CONN Registered Agent
Georgette Greene Registered Agent

Organizer

Name Role
Dana Conn Organizer
Georgette Greene Organizer
Heather Deel Organizer

National Provider Identifier

NPI Number:
1114632577
Certification Date:
2023-01-20

Authorized Person:

Name:
DANA CONN
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065520964

Filings

Name File Date
Dissolution 2023-12-18
Registered Agent name/address change 2023-01-22

Sources: Kentucky Secretary of State