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CORAM DEO COUNSELING LLC

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Company Details

Legal Name: CORAM DEO COUNSELING LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 27th 2024
Expiration date: 31 Aug 2025
UBI Number: 605 599 177
ZIP code: 98584
City: Shelton
County: MASON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 430 SE GOSNELL LN, SHELTON, WA, 98584-8384, UNITED STATES

Contact Details

E-Mail: TIMOANDAILEEN@GMAIL.COM
Phone Number: +1 206-679-0531

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TIMOTEO YEPES Registered Agent 430 SE GOSNELL LN, SHELTON, WA, 98584-8384, UNITED STATES

Key Officers & Management

Name Role Address
TIMOTEO YEPES Executor 430 SE GOSNELL LN, SHELTON, WA, 98584-8384, UNITED STATES
TIMOTEO YEPES Governing Person 430 SE GOSNELL LN, SHELTON, WA, 98584-8384, UNITED STATES

National Provider Identifier

NPI Number:
1598591497
Certification Date:
2024-09-09

Authorized Person:

Name:
TIMOTEO D YEPES
Role:
OWNER/MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

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