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LA LUNE INTEGRATIVE PSYCHIATRY PLLC

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Company Details

Legal Name: LA LUNE INTEGRATIVE PSYCHIATRY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 21st 2022
Expiration date: 31 Jan 2026
UBI Number: 604 863 233
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 522 W RIVERSIDE AVE STE 4117, SPOKANE, WA, 99201-0580, UNITED STATES

Contact Details

E-Mail: HELLO@JOINLALUNE.COM
Phone Number: +1 206-531-7844

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
LA LUNE INTEGRATIVE PSYCHIATRY PLLC Registered Agent

Key Officers & Management

Name Role Address
ELITA WONG Executor 522 W RIVERSIDE AVE STE 4117, SPOKANE, WA, 99201-0580, UNITED STATES
AMY WONG Governing Person -
ELITA WONG Governing Person 522 W RIVERSIDE AVE, SUITE #4117, SPOKANE, WA, 99201, UNITED STATES

National Provider Identifier

NPI Number:
1457094575
Certification Date:
2022-04-16

Authorized Person:

Name:
MS. ELITA WONG
Role:
OWNER, NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
5033863252

Form 5500 Series

Employer Identification Number (EIN):
880674334
Plan Year:
2024
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
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