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KENTUCKY PHOENIX PROJECT LLC

Company Details

Name: KENTUCKY PHOENIX PROJECT LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 01 Jun 2023 (2 years ago)
Organization Date: 01 Jun 2023 (2 years ago)
Last Annual Report: 30 Jan 2024 (a year ago)
Managed By: Members
Organization Number: 1285221
Industry: Social Services
Number of Employees: Small (0-19)
ZIP code: 41653
City: Prestonsburg, Emma, Endicott, Hippo
Primary County: Floyd County
Principal Office: 5230 KY Route 321, Suite 6, Prestonsburg, KY 41653
Place of Formation: KENTUCKY

Member

Name Role
Casey Collier Member
Shawn Sanders Member
Genia McCarty Member

Organizer

Name Role
Shawn Sanders Organizer
Casey Collier Organizer

Registered Agent

Name Role
Casey Collier Registered Agent

National Provider Identifier

NPI Number:
1639956527
Certification Date:
2023-11-28

Authorized Person:

Name:
CASEY COLLIER
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
6065485477

Assumed Names

Name Status Expiration Date
PHOENIX OUTPATIENT Active 2029-03-28
PHOENIX CONNECT Active 2029-03-28
PHOENIX OUTPAITENT Active 2029-03-28

Filings

Name File Date
Certificate of Assumed Name 2024-03-28
Certificate of Assumed Name 2024-03-28
Certificate of Assumed Name 2024-03-28
Annual Report 2024-01-30
Registered Agent name/address change 2024-01-30

Sources: Kentucky Secretary of State