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ENLIVENING MENTAL HEALTH

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Company Details

Legal Name: ENLIVENING MENTAL HEALTH
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 30th 2021
Expiration date: 31 Mar 2026
UBI Number: 604 726 169
ZIP code: 98597
City: Yelm
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 106 PLAZA DR SE BLDG B3, YELM, WA, 98597-8841, UNITED STATES

Contact Details

E-Mail: TRACI@ENLIVENINGMH.ORG
Phone Number: +1 253-249-5991

Nature of Business

MENTAL HEALTH THERAPY

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Registered Agent Information

Name Role Address
TRACI TOLLIVER Registered Agent 106 PLAZA DR SE BLDG B3, YELM, WA, 98597-8841, UNITED STATES

Key Officers & Management

Name Role Address
TRACI TOLLIVER Governing Person -
NICOLE BROUGHAM Initial Board Of Director 106 PLAZA DR SE, SUITE B-3, YELM, WA, 98597-8841, UNITED STATES
ERIC VIARA Initial Board Of Director 106 PLAZA DR SE, SUITE B-3, YELM, WA, 98597-8841, UNITED STATES
JENISE GOGAN Initial Board Of Director 106 PLAZA DR SE, SUITE B-3, YELM, WA, 98597-8841, UNITED STATES
TRACI TOLLIVER Initial Board Of Director 106 PLAZA DR SE, SUITE B-3, YELM, WA, 98597-8841, UNITED STATES
TRACI TOLLIVER Incorporator 106 PLAZA DR SE, SUITE B-3, YELM, WA, 98597-8841, UNITED STATES

National Provider Identifier

NPI Number:
1548849029
Certification Date:
2021-04-03

Authorized Person:

Name:
DR. TRACI TOLLIVER
Role:
EXECUTIVE DIRECTOR; THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

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