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Reclaim Wellness Group, PLLC

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Company Details

Name: Reclaim Wellness Group, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Feb 2023 (2 years ago)
Organization Date: 24 Feb 2023 (2 years ago)
Last Annual Report: 14 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1263078
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40207
City: Louisville, Bellewood, Brownsboro Village, Brwnsboro...
Primary County: Jefferson County
Principal Office: 4010 DUPONT CIRCLE, SUITE 600, LOUISVILLE, KY 40207
Place of Formation: KENTUCKY

Member

Name Role
ALEKSANDR PEVTSOV Member
CLEMENT S RUSSELL Member
OLIVIA PIERCE Member
NATHAN GONDA Member
SARA W SUTPHIN Member

Registered Agent

Name Role
Sara Williamson Sutphin Registered Agent

Organizer

Name Role
Sara Williamson Sutphin Organizer
Nathan James Gonda Organizer
Aleksandr Pevtsov Organizer
Clement Street Russell Organizer

National Provider Identifier

NPI Number:
1831874023
Certification Date:
2023-06-16

Authorized Person:

Name:
CLEMENT STREET RUSSELL
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2024-06-14
Principal Office Address Change 2023-08-31

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Sources: Kentucky Secretary of State