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EVERGREEN WELLNESS PSYCHOTHERAPY PLLC

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Company Details

Legal Name: EVERGREEN WELLNESS PSYCHOTHERAPY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2015
Expiration date: 30 Sep 2025
UBI Number: 603 544 136
ZIP code: 98045
City: North Bend
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 209 MAIN AVE S STE 115, NORTH BEND, WA, 98045-8139, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 808 N I ST, TACOMA, WA, 98403-2014, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $16,553

Contact Details

E-Mail: INFO@EVERGREENWELLNESSPSYCHOTHERAPY.COM
Phone Number: +1 425-293-3161

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
HEIDI MARSOLEK Registered Agent 209 MAIN AVE S, NORTH BEND, WA, 98045-8139, UNITED STATES

Key Officers & Management

Name Role
HEIDI MARSOLEK Governing Person

National Provider Identifier

NPI Number:
1336752021
Certification Date:
2020-09-08

Authorized Person:

Name:
HEIDI MARSOLEK
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
475141301
Plan Year:
2024
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
2
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2022
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE RIMER(Plan administrator)
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