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EMERALD CITY BEHAVIORAL HEALTH LLC

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Company Details

Legal Name: EMERALD CITY BEHAVIORAL HEALTH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 3rd 2023
Expiration date: 31 Mar 2026
UBI Number: 605 119 907
ZIP code: 98418
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Mailing Address: Google Maps Logo PO BOX 39460, LAKEWOOD, WA, 98496-3460, UNITED STATES
Principal Office Street Address: Google Maps Logo 3713 PACIFIC AVE, SUITE E, TACOMA, WA, 98418-7845, UNITED STATES

Contact Details

E-Mail: XANDRA@EMERALDCITY.HEALTH
Phone Number: +1 503-515-5046

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CLAUDIA JOHNSON Registered Agent 3711 PACIFIC AVE, TACOMA, WA, 98418-7800, UNITED STATES

Key Officers & Management

Name Role Address
CLAUDIA JOHNSON Executor 1220 MAIN ST STE 4, VANCOUVER, WA, 98660-2953, UNITED STATES
CLAUDIA JOHNSON Governing Person 1220 MAIN ST, FOURTH FLOOR, VANCOUVER, WA, 98660-2953, UNITED STATES
MICHAEL CLARKE Governing Person -

National Provider Identifier

NPI Number:
1396510970
Certification Date:
2024-07-30

Authorized Person:

Name:
CLAUDIA JOHNSON
Role:
OWNER/ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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