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CLEARWATER COUNSELING, PLLC

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Company Details

Legal Name: CLEARWATER COUNSELING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 24th 2010
Expiration date: 31 Aug 2025
UBI Number: 603 042 816
Home State: HAWAII
Principal Office Street Address: Google Maps Logo 85 HUI RD F, A, LAHAINA, HI, 96761-8834, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 5095 NAPILIHAU ST 109B, #214, LAHAINA, HI, 96761, UNITED STATES

Contact Details

E-Mail: LAURA@CLEARWATERLMHC.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
FIONA O'FARRELL Registered Agent 1914 N 34TH ST STE 504, SEATTLE, WA, 98103-9007, UNITED STATES

Key Officers & Management

Name Role
LAURA WAGNER Governing Person

National Provider Identifier

NPI Number:
1780856906
Certification Date:
2021-11-07

Authorized Person:

Name:
ALESIA A BLACK
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2533130570
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