| | Organization Number | 1084353 |
| | Name | Donna Goodman, APRN, FNP-C, PMHNP-BC, LLC |
| | Profit or Non-Profit | P - Profit |
| | Company Type | KLC - Kentucky Limited Liability Company |
| | Status | I - Inactive |
| | Standing | B - Bad |
| | State | KY |
| | Country | USA |
| | File Date | 1/21/2020 4:06:37 PM |
| | Organization Date | 1/21/2020 |
| | Last Annual Report | N/A |
| | Principal Office | 131 Holman Ave
Elizabethtown, KY 42701 |
| | Managed By | Members |
| | Registered Agent | Donna Joyce Goodman
131 Holman Ave
Elizabethtown, KY 42701 |
