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LIFEBOND PLLC

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Company Details

Legal Name: LIFEBOND PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 15th 2024
Expiration date: 31 Oct 2025
UBI Number: 605 622 484
ZIP code: 99217
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1914 E HOUGHTON AVE, SPOKANE, WA, 99217-8709, UNITED STATES

Contact Details

E-Mail: LAURA-BERG@LIVE.COM
Phone Number: +1 509-998-7115

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Registered Agent Information

Name Role Address
LAURA BERG Registered Agent 1914 E HOUGHTON AVE, SPOKANE, WA, 99217-8709, UNITED STATES

Key Officers & Management

Name Role Address
LAURA BERG Executor 11520 N MORRILL DR, MEAD, WA, 99021-9599, UNITED STATES
LUIS AGUILAR Executor 1914 E HOUGHTON AVE, SPOKANE, WA, 99217-8709, UNITED STATES
BRIAN BENEFIEL Executor 1914 E HOUGHTON AVE, SPOKANE, WA, 99217-8709, UNITED STATES

National Provider Identifier

NPI Number:
1205623485
Certification Date:
2025-04-21

Authorized Person:

Name:
LAURA BERG
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

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

Contacts:

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