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LEVI THERAPY, PLLC

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Company Details

Legal Name: LEVI THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 7th 2024
Expiration date: 30 Nov 2025
UBI Number: 605 637 059
ZIP code: 98362
City: Port Angeles
County: CLALLAM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 204 W 4TH ST APT 11, PORT ANGELES, WA, 98362-2835, UNITED STATES

Contact Details

E-Mail: KEVINMLEVI@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
KEVIN LEVI Registered Agent 204 W 4TH ST APT 11, PORT ANGELES, WA, 98362-2835, UNITED STATES

Key Officers & Management

Name Role Address
KEVIN LEVI Executor 204 W 4TH ST APT 11, PORT ANGELES, WA, 98362-2835, UNITED STATES
KEVIN LEVI Governing Person 204 W 4TH ST, APT 11, PORT ANGELES, WA, 98362-2835, UNITED STATES

National Provider Identifier

NPI Number:
1760280069
Certification Date:
2025-03-04

Authorized Person:

Name:
KEVIN LEVI
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
8882345190
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