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EVERGREEN PSYCHOLOGY, PLLC

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Company Details

Legal Name: EVERGREEN PSYCHOLOGY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 23rd 2021
Expiration date: 30 Jun 2026
UBI Number: 604 767 983
ZIP code: 98115
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2008 NE 65TH ST, SEATTLE, WA, 98115-6934, UNITED STATES

Contact Details

E-Mail: MANDYLUPSYD@GMAIL.COM
Phone Number: +1 425-405-0648

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
MENG LU Registered Agent 2008 NE 65TH ST, SEATTLE, WA, 98115-6934, UNITED STATES

Key Officers & Management

Name Role Address
MENG LU Executor 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES
MENG LU Governing Person -

National Provider Identifier

NPI Number:
1861154437
Certification Date:
2021-10-11

Authorized Person:

Name:
DR. MENG LU
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
2063638271
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