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BE WELL SEATTLE LLC

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Company Details

Legal Name: BE WELL SEATTLE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 9th 2020
Expiration date: 31 Jan 2026
UBI Number: 604 568 905
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 15206 10TH AVE SW, UNIT D, BURIEN, WA, 98166-2107, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 7511 GREENWOOD AVE N PMB 4282, SEATTLE, WA, 98103-4627, UNITED STATES

Contact Details

E-Mail: BEWELLSEATTLE@GMAIL.COM
Phone Number: +1 206-717-4595

Nature of Business

SOLO PSYCHIATRIC PRACTICE

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Registered Agent Information

Name Role Address
MELISSA FUKUNAGA Registered Agent 15206 10TH AVE SW, UNIT D, BURIEN, WA, 98166-2107, UNITED STATES

Key Officers & Management

Name Role Address
JIM ROGERS Executor 170 S LINCOLN ST STE 100, SPOKANE, WA, 99201-4443, UNITED STATES
MELISSA FUKUNAGA Governing Person -

National Provider Identifier

NPI Number:
1679193346
Certification Date:
2020-04-22

Authorized Person:

Name:
MELISSA A FUKUNAGA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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