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Advanced Behavioral Wellness L.L.C.

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Company Details

Name: Advanced Behavioral Wellness L.L.C.
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 25 Feb 2024 (a year ago)
Organization Date: 25 Feb 2024 (a year ago)
Managed By: Members
Organization Number: 1344492
ZIP code: 42003
City: Paducah
Primary County: McCracken County
Principal Office: 6025 Kentucky Dam Rd, Paducah, KY 42003
Place of Formation: KENTUCKY

Registered Agent

Name Role
Samuel Kelley Registered Agent

Organizer

Name Role
Samuel Kelley Organizer
Cindy Williams Bebout Adkinson Organizer

National Provider Identifier

NPI Number:
1841049855
Certification Date:
2024-11-12

Authorized Person:

Name:
CYNTHIA JANE ADKINSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2708984045

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Sources: Kentucky Secretary of State