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FAMILY THERAPY INITIATIVES, PLLC

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Company Details

Legal Name: FAMILY THERAPY INITIATIVES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 13th 2020
Expiration date: 30 Nov 2025
UBI Number: 604 666 172
ZIP code: 98109
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 130 NICKERSON ST STE 311, SEATTLE, WA, 98109-1658, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 2816 W ELMORE ST, SEATTLE, WA, 98199, UNITED STATES

Contact Details

E-Mail: DRSCOTTEDWARDS@OUTLOOK.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
SCOTT EDWARDS Registered Agent 130 NICKERSON ST STE 311, SEATTLE, WA, 98109-1658, UNITED STATES

Key Officers & Management

Name Role Address
SCOTT EDWARDS Executor 130 NICKERSON ST, SUITE 311, SEATTLE, WA, 98109-1658, UNITED STATES
SCOTT EDWARDS Governing Person 130 NICKERSON ST, SUITE 311, SEATTLE, WA, 98109-1658, UNITED STATES

National Provider Identifier

NPI Number:
1174389530
Certification Date:
2024-02-23

Authorized Person:

Name:
SCOTT EDWARDS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change FAMILY THERAPY INITIATIVES, LLC FAMILY THERAPY INITIATIVES, PLLC 2020-12-01
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