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A RENEWED MIND PSYCHIATRIC SERVICES, LLC

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Company Details

Legal Name: A RENEWED MIND PSYCHIATRIC SERVICES, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: January 4th 2021
Date of Dissolution: June 3rd 2023
Expiration date: 31 Jan 2023
UBI Number: 604 692 044
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES

Contact Details

E-Mail: WESTERN@NORTHWESTREGISTEREDAGENT.COM

Nature of Business

Any Lawful Purpose, THE PURPOSE OF ORGANIZATION INCLUDES, BUT IS NOT LIMITED TO: PROVIDE PSYCHIATRIC SERVICES TO INDIVIDUALS

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Registered Agent Information

Name Role Address
NORTHWEST REGISTERED AGENT, LLC Registered Agent 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0581, UNITED STATES

Key Officers & Management

Name Role Address
NORTHWEST REGISTERED AGENT, LLC Executor 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES
ANGELA MILLER Governing Person -

National Provider Identifier

NPI Number:
1851965552
Certification Date:
2021-05-17
Link:
View on NPI website

Authorized Person:

Name:
ANGELA DENISE MILLER
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:
6627360728

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Phone:
+1 800-549-0646
Fax:
2482438914
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