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INTEGRATED THERAPY SERVICES NW, PLLC

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Company Details

Legal Name: INTEGRATED THERAPY SERVICES NW, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 27th 2007
Expiration date: 30 Apr 2026
UBI Number: 602 720 621
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3560 BRIDGEPORT WAY W STE 2C, UNIVERSITY PL, WA, 98466-4446, UNITED STATES

Contact Details

E-Mail: JLPURDUM@INTEGRATEDTHERAPYNW.COM

Nature of Business

THERAPY SERVICES

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Registered Agent Information

Name Role Address
JEANNE PURDUM Registered Agent 3560 BRIDGEPORT WAY W, STE 2C, UNIVERSITY PL, WA, 98466-4446, UNITED STATES

Key Officers & Management

Name Role Address
JEANNE PURDUM Governing Person 6004 WESTGATE BLVD STE 180, TACOMA, WA, 98406, UNITED STATES
JENELLE LARSON Governing Person -
MICHAEL NIELSEN Governing Person -
JACQUELINE PARKES EXECUTOR 7406 27TH ST W STE 208, UNIVERSITY PLACE, WA, 98466, UNITED STATES

Unique Entity ID

Unique Entity ID:
NFZ7LHJ4K2U3
UEI Expiration Date:
2026-01-28

Business Information

Activation Date:
2025-01-30
Initial Registration Date:
2025-01-28

National Provider Identifier

NPI Number:
1740549633

Authorized Person:

Name:
JEANNE PURDUM
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
2535644409

Form 5500 Series

Employer Identification Number (EIN):
208930064
Plan Year:
2023
Number Of Participants:
35
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
EMILEE VANDER LINDEN(Plan administrator)
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