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DAYSPRING BEHAVIORAL HEALTH PLLC

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Company Details

Legal Name: DAYSPRING BEHAVIORAL HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2013
Expiration date: 30 Sep 2025
UBI Number: 603 335 477
ZIP code: 98027
City: Issaquah
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 195 NE GILMAN BLVD STE 100, ISSAQUAH, WA, 98027-2940, UNITED STATES

Contact Details

E-Mail: DRAMY@DAYSPRINGBH.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
AMY FORD Governing Person

National Provider Identifier

NPI Number:
1366878332

Authorized Person:

Name:
DR. AMY FORD
Role:
OWNER/PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
8182792296
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