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FOUNDATION MENTAL HEALTH, LLC

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Company Details

Legal Name: FOUNDATION MENTAL HEALTH, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: October 31st 2016
Date of Dissolution: March 3rd 2019
Expiration date: 31 Oct 2018
UBI Number: 604 053 073
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 906 W 2ND AVE #600, SPOKANE, WA, 99201, UNITED STATES

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Registered Agent Information

Name Role Address
THOMAS SUTHERLAND Registered Agent 203 N WASHINGTON ST STE 200, SPOKANE, WA, 99201-0254, UNITED STATES

Key Officers & Management

Name Role
THOMAS SUTHERLAND Governing Person

National Provider Identifier

NPI Number:
1669924916

Authorized Person:

Name:
THOMAS C SUTHERLAND
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
5094739231
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