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GENESIS WELLNESS CENTER PLLC

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Company Details

Name: GENESIS WELLNESS CENTER PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 17 Nov 2023 (2 years ago)
Organization Date: 17 Nov 2023 (2 years ago)
Last Annual Report: 18 Jun 2024 (a year ago)
Managed By: Members
Organization Number: 1321951
Industry: Social Services
Number of Employees: Small (0-19)
ZIP code: 40245
City: Louisville, Coldstream, Worthington Hills, Worthngtn...
Primary County: Jefferson County
Principal Office: 4507 Meadowlark Manor Ln, Louisville, KY 40245
Place of Formation: KENTUCKY

Registered Agent

Name Role
Lisa Gaines Registered Agent

Member

Name Role
Lisa Gaines Member

Organizer

Name Role
Lisa Christine Gaines Organizer

National Provider Identifier

NPI Number:
1851166813
Certification Date:
2024-07-11

Authorized Person:

Name:
DR. LISA C GAINES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LC1500X - Community Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5023900330

Filings

Name File Date
Annual Report 2024-06-18
Articles of Organization 2023-11-17

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Sources: Kentucky Secretary of State