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INNERSPACE PROFESSIONAL COUNSELING PLLC

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Company Details

Legal Name: INNERSPACE PROFESSIONAL COUNSELING PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 2nd 2023
Expiration date: 30 Nov 2025
UBI Number: 605 353 086
ZIP code: 98632
City: Longview
County: COWLITZ
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 5605 FINCH DR, APT 215, LONGVIEW, WA, 98632-9244, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 601 1ST AVE STE 102 PMB 2321, SEATTLE, WA, 98104, UNITED STATES

Contact Details

E-Mail: HANSON.SARA@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SARA SMITH Registered Agent 5605 FINCH DR, APT 215, LONGVIEW, WA, 98632-9244, UNITED STATES

Key Officers & Management

Name Role Address
SARA SMITH Governing Person 5605 FINCH DR, APT 215, LONGVIEW, WA, 98632-9244, UNITED STATES
SARA SMITH EXECUTOR 5605 FINCH DR APT 215, LONGVIEW, WA, 98632-9244, UNITED STATES

National Provider Identifier

NPI Number:
1609601400
Certification Date:
2024-09-03

Authorized Person:

Name:
SARA SMITH
Role:
OWNER
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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