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Southern Roots Therapeutic Services, LLC

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Company Details

Name: Southern Roots Therapeutic Services, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 24 Jan 2024 (a year ago)
Organization Date: 24 Jan 2024 (a year ago)
Managed By: Managers
Organization Number: 1336030
ZIP code: 40769
City: Williamsburg, Cumberland College, Cumberlnd Clg, Nevis...
Primary County: Whitley County
Principal Office: 74 Falin Ln, Williamsburg, KY 40769
Place of Formation: KENTUCKY

Registered Agent

Name Role
Melissa Hansford Registered Agent

Organizer

Name Role
Melissa Hansford Organizer

National Provider Identifier

NPI Number:
1851155014
Certification Date:
2024-02-08

Authorized Person:

Name:
MELISSA HANSFORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
Yes

Contacts:

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Sources: Kentucky Secretary of State