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DBT EASTSIDE PLLC

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Company Details

Legal Name: DBT EASTSIDE PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 3rd 2015
Expiration date: 28 Feb 2026
UBI Number: 603 473 104
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1400 112TH AVE SE, SUITE 202, BELLEVUE, WA, 98004-6901, UNITED STATES

Contact Details

E-Mail: MARYDERICKSONMA@YAHOO.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CCM MANAGEMENT & ACCOUNTING SUPPORT Registered Agent 16240 32ND AVE S, SEATAC, WA, 98188-3019, UNITED STATES

Key Officers & Management

Name Role Address
MARY ERICKSON Governing Person 1400 112TH AVE SE, SUITE 202, BELLEVUE, WA, 98004, UNITED STATES

National Provider Identifier

NPI Number:
1538810718
Certification Date:
2022-01-10

Authorized Person:

Name:
DANIEL HANSON
Role:
OFFICE MANAGER
Phone:

Taxonomy:

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

Contacts:

History

Type Old value New value Date of change
Name change DBT EASTSIDE L.L.C. DBT EASTSIDE PLLC 2018-05-31

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$42,500
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$42,500
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Unanswered
Forgiveness Amount:
$42,785.27
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $42,500
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