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GAYLOR PSYCHOTHERAPY, PLLC

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Company Details

Legal Name: GAYLOR PSYCHOTHERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 1st 2024
Expiration date: 31 Jan 2026
UBI Number: 605 342 799
ZIP code: 98102
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1666 E OLIVE WAY, SEATTLE, WA, 98102-5627, UNITED STATES

Contact Details

E-Mail: JP@GAYLORPSYCHOTHERAPY.COM

Nature of Business

Other Services, PSYCHOTHERAPY AND COUNSELING SERVICES

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Registered Agent Information

Name Role Address
JONATHAN GAYLOR Registered Agent 1666 E OLIVE WAY, SEATTLE, WA, 98102-5627, UNITED STATES

Key Officers & Management

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

National Provider Identifier

NPI Number:
1619748969
Certification Date:
2024-01-14

Authorized Person:

Name:
JONATHAN GAYLOR
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

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