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ADVANCED MENTAL HEALTH OF WASHINGTON LLC

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Company Details

Legal Name: ADVANCED MENTAL HEALTH OF WASHINGTON LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 23rd 2023
Expiration date: 30 Jun 2026
UBI Number: 605 274 764
ZIP code: 98405
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 922 S J ST, TACOMA, WA, 98405-4110, UNITED STATES

Contact Details

E-Mail: AMHOFWASHINGTON@GMAIL.COM
Phone Number: +1 253-300-2848

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KENNETH MOULTRY Registered Agent 5954 N 26TH ST, TACOMA, WA, 98407-2305, UNITED STATES

Key Officers & Management

Name Role Address
CONNIE HOBBS Executor 631 MARK AVE, IDAHO FALLS, ID, 83401-3116, UNITED STATES
STEVEN KILLION Executor 2437 EAGLE DR APT 101, AMMON, ID, 83406-5740, UNITED STATES
STEVEN KILLION Governing Person -
KENNY MOULTRY Governing Person -

National Provider Identifier

NPI Number:
1982389516
Certification Date:
2024-06-13

Authorized Person:

Name:
STEVEN JAMES KILLION
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
175T00000X - Peer Specialist
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:
363AM0700X - Medical Physician Assistant
Is Primary:
No
Selected Taxonomy:
405300000X - Prevention Professional
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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