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Purpose Driven Intervention Services, LLC

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Company Details

Name: Purpose Driven Intervention Services, LLC
Legal type: Kentucky Limited Liability Company
Status: Active
File Date: 16 Dec 2024 (7 months ago)
Organization Date: 16 Dec 2024 (7 months ago)
Last Annual Report: 06 Mar 2025 (4 months ago)
Managed By: Members
Organization Number: 1415659
Number of Employees: Medium (20-99)
ZIP code: 41647
City: Mc Dowell, E Mc Dowell, East Mc Dowell, Orkney
Primary County: Floyd County
Principal Office: 9575 KY HWY 122 STE 7, ST 7, E Mc Dowell, KY 41647
Place of Formation: KENTUCKY

Registered Agent

Name Role
Purpose Driven Support Services, LLC Registered Agent

Organizer

Name Role
Samantha Stumbo Organizer

National Provider Identifier

NPI Number:
1689488421
Certification Date:
2025-05-05

Authorized Person:

Name:
SAMANTHA STUMBO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
171M00000X - Case Manager/Care Coordinator
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
Is Primary:
No
Selected Taxonomy:
207RA0401X - Addiction Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
Yes

Contacts:

Filings

Name File Date
Annual Report 2025-03-06
Articles of Organization 2024-12-16

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Sources: Kentucky Secretary of State