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CORNWALL COUNSELING P.L.L.C.

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Company Details

Legal Name: CORNWALL COUNSELING P.L.L.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 25th 2021
Expiration date: 28 Feb 2026
UBI Number: 604 721 503
ZIP code: 99163
City: Pullman
County: WHITMAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 115 SW BLAINE ST STE C, PULLMAN, WA, 99163-4905, UNITED STATES

Contact Details

E-Mail: KAMI.CORNWALL@GMAIL.COM
Phone Number: +1 509-432-3925

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORNWALL COUNSELING P.L.L.C. Registered Agent

Key Officers & Management

Name Role Address
KAMI CORNWALL Executor 115 SW BLAINE STREET SUITE C, PULLMAN, WA, 99163, UNITED STATES
KAMI CORNWALL Governing Person 115 SW BLAINE STREET SUITE C, PULLMAN, WA, 99163, UNITED STATES

National Provider Identifier

NPI Number:
1467047225
Certification Date:
2021-03-03

Authorized Person:

Name:
KAMI KATE CORNWALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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