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MAGNOLIA PSYCHIATRIC SERVICES, PLLC

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Company Details

Legal Name: MAGNOLIA PSYCHIATRIC SERVICES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 17th 2018
Expiration date: 31 Oct 2025
UBI Number: 604 345 199
ZIP code: 98662
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4400 NE 77TH AVE, SUITE 275, VANCOUVER, WA, 98662-6857, UNITED STATES

Contact Details

E-Mail: SMITH@MAGNOLIANP.COM
Phone Number: +1 360-567-8466

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NADINE SMITH Registered Agent 4400 NE 77TH AVE, SUITE 275, VANCOUVER, WA, 98662-6857, UNITED STATES

Key Officers & Management

Name Role Address
NADINE SMITH Executor 10000 NE 7TH AVE, SUITE 330-F, VANCOUVER, WA, 98685-4561, UNITED STATES
DEAN SMITH Governing Person -

Links between entities

Type:
Headquarter of
Company Number:
20221155088
State:
COLORADO

National Provider Identifier

NPI Number:
1417423989

Authorized Person:

Name:
MRS. NADINE ANNICA SMITH
Role:
PSYCHIATRIC NURSE PRACTITIONER
Phone:

Taxonomy:

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

Contacts:

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