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IASO THERAPY AND CONSULTATION PLLC

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Company Details

Legal Name: IASO THERAPY AND CONSULTATION PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: August 8th 2022
Expiration date: 31 Aug 2025
UBI Number: 604 954 948
ZIP code: 98109
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2120 1ST AVE N, #210, SEATTLE, WA, 98109-2301, UNITED STATES

Contact Details

E-Mail: NICOLE@IASOTHERAPY.ORG
Phone Number: +1 206-594-0574

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NICOLE DAVIS Registered Agent 2120 1ST AVE N # 210, SEATTLE, WA, 98109-2301, UNITED STATES

Key Officers & Management

Name Role Address
NICOLE DAVIS Executor 2120 1ST AVE N # 210, SEATTLE, WA, 98109-2301, UNITED STATES
NICOLE DAVIS Governing Person 2120 1ST AVE N, 210, SEATTLE, WA, 98109-2301, UNITED STATES

National Provider Identifier

NPI Number:
1164315859
Certification Date:
2025-05-31

Authorized Person:

Name:
NICOLE DAVIS-WESTBROOK
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

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