Search icon

BASALT FAMILY WELLNESS, LLC

Company claim

Is this your business?

Get access!

Company Details

Legal Name: BASALT FAMILY WELLNESS, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 22nd 2023
Expiration date: 30 Nov 2025
UBI Number: 605 369 627
ZIP code: 98926
City: Ellensburg
County: KITTITAS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 700 E MOUNTAIN VIEW AVE STE 505, ELLENSBURG, WA, 98926-4802, UNITED STATES

Contact Details

E-Mail: MACY.ANN07@GMAIL.COM
Phone Number: +1 509-306-1898

Nature of Business

Health Care, Social Assistance & Service Organization

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
MACY SCHORNO Registered Agent 2801 N PIONEER RD, ELLENSBURG, WA, 98926-9475, UNITED STATES

Key Officers & Management

Name Role Address
MACY SCHORNO Executor 2801 N PIONEER RD, ELLENSBURG, WA, 98926-9475, UNITED STATES
MACY SCHORNO Governing Person -

National Provider Identifier

NPI Number:
1154198653
Certification Date:
2024-04-19

Authorized Person:

Name:
MACY A SCHORNO
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QF0050X - Non-Surgical Family Planning Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5094263760
See something incorrect or outdated? Let us know