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EVOLVE PSYCHIATRY P.C.

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Company Details

Legal Name: EVOLVE PSYCHIATRY P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Voluntarily Dissolved
Formation/ Registration Date: March 29th 2023
Date of Dissolution: April 2nd 2024
Expiration date: 31 Mar 2024
UBI Number: 605 165 720
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22406 68TH AVE W, MOUNTLAKE TER, WA, 98043-2372, UNITED STATES

Contact Details

E-Mail: USACORP@USACORPINC.COM

Nature of Business

REGISTERED NURSE

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Registered Agent Information

Name Role Address
PACIFIC REGISTERED AGENTS, INC. Registered Agent 9407 NE VANCOUVER MALL DR STE 104, VANCOUVER, WA, 98662-6191, UNITED STATES

Key Officers & Management

Name Role Address
BRIGHID GANNON Governing Person -
BRIGHID GANNON Incorporator 22406 68TH AVE W, MOUNTLAKE TER, WA, 98043-2372, UNITED STATES

National Provider Identifier

NPI Number:
1265127187
Certification Date:
2023-04-17

Authorized Person:

Name:
SIEW LAI
Role:
DIRECTOR OF PARTNERSHIPS
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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