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MINDFUL THERAPY GROUP, P.C.

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Company Details

Legal Name: MINDFUL THERAPY GROUP, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 19th 2010
Expiration date: 31 Oct 2025
UBI Number: 603 057 459
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA, 98043, UNITED STATES

Contact Details

E-Mail: ACCOUNTING@MINDFULSUPPORTSERVICES.COM
Phone Number: +1 425-640-7009

Nature of Business

MENTAL HEALTH THERAPY

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role
DEREK CRAIN Governing Person

Links between entities

Type:
Headquarter of
Company Number:
20238295638
State:
COLORADO
Type:
Headquarter of
Company Number:
5269626
State:
IDAHO
Type:
Headquarter of
Company Number:
18da7c4c-b70b-ee11-9072-00155d01c440
State:
MINNESOTA
Type:
Headquarter of
Company Number:
F24000000131
State:
FLORIDA

National Provider Identifier

NPI Number:
1316238678
Certification Date:
2025-04-04

Authorized Person:

Name:
MR. DEREK ALAN CRAIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Fax:
4256409600
Fax:
4256786455

Form 5500 Series

Employer Identification Number (EIN):
273781010
Plan Year:
2019
Number Of Participants:
32
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CAROL HO(Plan administrator)
Plan Year:
2018
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CAROL HO(Plan administrator)
Plan Year:
2018
Number Of Participants:
12
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CAROL HO(Plan administrator)

History

Type Old value New value Date of change
Name change THERAPEUTIC SUPPORT SERVICES, INC. MINDFUL SUPPORT SERVICES, INC. 2019-03-05

Paycheck Protection Program

Jobs Reported:
56
Initial Approval Amount:
$477,692
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$477,692
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$482,581.44
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $382,154
Rent: $95,538

Trademarks

Serial Number:
98588141
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2024-06-06
Mark Drawing Type:
Illustration: Drawing or design without any word(s)/letter(s)/number(s)

Goods And Services

For:
Mental health services; Telehealth services, namely, providing mental health services via telecommunications networks
First Use:
2023-10-01
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
97762649
Mark:
MINDFUL THERAPY GROUP
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2023-01-20
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
MINDFUL THERAPY GROUP

Goods And Services

For:
Mental health services; Telehealth services, namely, providing mental health services via telecommunications networks
First Use:
2011-04-21
International Classes:
044 - Primary Class
Class Status:
Active
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