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CREATIVE AVENUES COUNSELING PLLC

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Company Details

Legal Name: CREATIVE AVENUES COUNSELING PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 15th 2022
Expiration date: 31 Mar 2026
UBI Number: 604 884 255
ZIP code: 98036
City: Lynnwood
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2027 196TH ST SW STE A205, LYNNWOOD, WA, 98036-7073, UNITED STATES

Contact Details

E-Mail: THE.SERICKSON@GMAIL.COM
Phone Number: +1 425-202-6005

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
STEPHANIE CARL Registered Agent 2027 196TH ST SW STE A205, LYNNWOOD, WA, 98036-7073, UNITED STATES

Key Officers & Management

Name Role Address
STEPHANIE CARL Executor 1710 100TH PL SE STE 101B, EVERETT, WA, 98208-3839, UNITED STATES
STEPHANIE CARL Governing Person 1710 100TH PL SE STE 101B, EVERETT, WA, 98208-3839, UNITED STATES

National Provider Identifier

NPI Number:
1659081669
Certification Date:
2022-11-30

Authorized Person:

Name:
STEPHANIE ERICKSON CARL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
4253670531
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