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BRAIN HEALTH NORTHWEST, LLC

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Company Details

Legal Name: BRAIN HEALTH NORTHWEST, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: January 6th 2016
Date of Dissolution: January 4th 2021
Expiration date: 31 Jan 2021
UBI Number: 603 573 125
ZIP code: 98104
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 219 1ST AVE S #310, SEATTLE, WA, 98104, UNITED STATES

Contact Details

E-Mail: RICHARD@BRAINHEALTHNORTHWEST.COM
Phone Number: +1 206-456-5454

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
GRIFFITH F. FLAHERTY Registered Agent 3600 15TH AVE W STE 205, SEATTLE, WA, 98119-1330, UNITED STATES

Key Officers & Management

Name Role
RICHARD PACKARD Governing Person
ROGENE EICHLER WEST Governing Person

National Provider Identifier

NPI Number:
1669830774

Authorized Person:

Name:
DR. RICHARD LYNN PACKARD
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
101YP2500X - Professional Counselor
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
2066413246

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$50,374
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,374
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$50,695.4
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $50,374
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