DEPARTMENT OF INSURANCE

PUBLIC PROTECTION
CABINET

DEPARTMENT OF INSURANCE

Affiliations

Name	Behavioral Health Services of Louisville Inc.	DOIID	397869	NAIC NPN	7220574

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Resident	Administrator	Not Applicable	4/29/1996	3/31/1997
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated Individuals

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Atkins, Robert M	388717	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Donovan, Edward J	393065	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Lewandowski, Jeffrey T	354690	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Perri, Johanna M	372457	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Pridemore, Veronica Lynn	336584	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Taylor, Mary Ellen	332063	Administrator - Not Applicable	4/29/1996	3/31/1997
Inactive	Wood, Kim S	372532	Administrator - Not Applicable	4/29/1996	3/31/1997