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ALLEGIANCE TO SELF RECOVERY LLC

Company Details

Name: ALLEGIANCE TO SELF RECOVERY LLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 04 Oct 2024 (8 months ago)
Organization Date: 04 Oct 2024 (8 months ago)
Managed By: Members
Organization Number: 1399636
ZIP code: 40229
City: Louisville, Okolona
Primary County: Jefferson County
Principal Office: 9508 Yellowpine ct, Louisville , KY 40229
Place of Formation: KENTUCKY

Registered Agent

Name Role
Antwone Shaw Registered Agent

Organizer

Name Role
Allegiance to self recovery Organizer

National Provider Identifier

NPI Number:
1144044728
Certification Date:
2024-12-10

Authorized Person:

Name:
MR. ANTWONE SHAW
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR0800X - Recovery Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
324500000X - Substance Abuse Rehabilitation Facility
Is Primary:
Yes

Contacts:

Filings

Name File Date
Articles of Organization 2024-10-04

Sources: Kentucky Secretary of State