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CLEAR VISION COLLABORATIVE LLC

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Company Details

Name: CLEAR VISION COLLABORATIVE LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 23 Feb 2023 (2 years ago)
Organization Date: 23 Feb 2023 (2 years ago)
Last Annual Report: 03 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1262592
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 42103
City: Bowling Green
Primary County: Warren County
Principal Office: 418 Iroquois Dr, 418 Iroquois Dr, Bowling Green, Bowling Green, KY 42103
Place of Formation: KENTUCKY

Registered Agent

Name Role
Rachel Jackson Registered Agent

Member

Name Role
Rachel Jackson Member
Ron Butler Member

Organizer

Name Role
Rachel Jackson Organizer
Ron Butler Organizer

National Provider Identifier

NPI Number:
1972207074
Certification Date:
2023-03-30

Authorized Person:

Name:
JOSEPH WAYLON DABBS
Role:
SUPERVISOR
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Name File Date
Registered Agent name/address change 2024-06-03
Principal Office Address Change 2024-06-03
Annual Report 2024-06-03
Registered Agent name/address change 2024-06-03
Annual Report 2024-06-03

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Sources: Kentucky Secretary of State