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LAUREN CROCKETT COUNSELING, PLLC

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Company Details

Legal Name: LAUREN CROCKETT COUNSELING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: May 24th 2021
Expiration date: 31 May 2025
UBI Number: 604 760 330
ZIP code: 98004
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1400 112TH AVE SE STE 202, BELLEVUE, WA, 98004-6901, UNITED STATES

Contact Details

E-Mail: LAURENCROCKETT@OUTLOOK.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
LAUREN CROCKETT Registered Agent 1400 112TH AVE SE STE 202, BELLEVUE, WA, 98004-6901, UNITED STATES

Key Officers & Management

Name Role Address
LAUREN CROCKETT Executor 1400 112TH AVE SE, SUITE 100, BELLEVUE, WA, 98004-6901, UNITED STATES
LAUREN CROCKETT Governing Person -

National Provider Identifier

NPI Number:
1275108821
Certification Date:
2022-08-24

Authorized Person:

Name:
LAUREN CROCKETT
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

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