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Cumberland Mountain Behavioral Health, LLC

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Company Details

Name: Cumberland Mountain Behavioral Health, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Mar 2023 (2 years ago)
Organization Date: 01 Mar 2023 (2 years ago)
Last Annual Report: 25 Mar 2025 (3 months ago)
Managed By: Managers
Organization Number: 1264297
Industry: Health Services
Number of Employees: Small (0-19)
ZIP code: 40769
City: Williamsburg, Cumberland College, Cumberlnd Clg, Nevis...
Primary County: Whitley County
Principal Office: 323 Main St, Williamsburg, KY 40769
Place of Formation: KENTUCKY

Manager

Name Role
Cailen Baker Manager

Registered Agent

Name Role
Cailen Baker Registered Agent

National Provider Identifier

NPI Number:
1457012486
Certification Date:
2024-07-31

Authorized Person:

Name:
CAILEN BAKER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2025-03-25
Annual Report 2024-08-19
Registered Agent name/address change 2024-08-19
Principal Office Address Change 2024-08-19

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Sources: Kentucky Secretary of State