BAYSIDE THERAPY ASSOCIATES, PLLC

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Company Details

Legal Name:	BAYSIDE THERAPY ASSOCIATES, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	May 29th 2009
Expiration date:	31 May 2026
UBI Number:	602 928 537
ZIP code:	98225
City:	Bellingham
County:	WHATCOM
Home State:	WASHINGTON
Principal Office Street Address:	12 BELLWETHER WAY STE 220, BELLINGHAM, WA, 98225-2914, UNITED STATES

Contact Details

E-Mail:	KRISTI@BAYSIDETHERAPY.COM
Phone Number:	+1 360-734-7310

Nature of Business

COUNSELING

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Registered Agent Information

Name	Role	Address
OFFICE MANAGER	Registered Agent	12 BELLWETHER WAY STE 220, BELLINGHAM, WA, 98225-2914, UNITED STATES

Key Officers & Management

Name	Role	Address
ERIK PAPRTIZ	Governing Person	-
SUSAN NEELLEY	Governing Person	-
VICTORIA MCGUINNESS	Governing Person	-
DIANA JACOBS	Governing Person	-
TIFFANY CATE	Governing Person	-
MELINDA HARDIN	Governing Person	-
DAVID COXON	Governing Person	-
SAGE ALBRIGHT	Governing Person	-
MICHAEL PARKER	Governing Person	-
KATHRYN WEBSTER	Governing Person	-

National Provider Identifier

NPI Number:

1609912591

Link:

View on NPI website

Authorized Person:

Name:

LORI PETERS

Role:

OFFICE MANAGER

Phone:

3607347310

Taxonomy:

Selected Taxonomy:

101YM0800X - Mental Health Counselor

Is Primary:

Selected Taxonomy:

103TC1900X - Counseling Psychologist

Is Primary:

Contacts:

Phone:

+1 360-734-7310

Fax:

3606478336

History

Type	Old value	New value	Date of change
Name change	BAYSIDE THERAPY ASSOCIATES, LLC	BAYSIDE THERAPY ASSOCIATES, PLLC	2023-05-04

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