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MINDSET TACOMA LLC

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Company Details

Legal Name: MINDSET TACOMA LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 5th 2023
Expiration date: 31 Dec 2025
UBI Number: 605 371 756
ZIP code: 98402
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 950 PACIFIC AVE, SUITE 525, TACOMA, WA, 98402-4400, UNITED STATES

Contact Details

E-Mail: SWEELBORG@MINDSET-TACOMA.COM
Phone Number: +1 253-320-5844

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SARA WEELBORG Registered Agent 4240 MEMORY LN W, UNIVERSITY PL, WA, 98466-1125, UNITED STATES

Key Officers & Management

Name Role Address
SARA WEELBORG Executor 4240 MEMORY LN W, UNIVERSITY PL, WA, 98466-1125, UNITED STATES
RACHEL JOHNSON Executor 1 N BROADWAY APT 22, TACOMA, WA, 98403-3113, UNITED STATES
SARA WEELBORG Governing Person 4240 MEMORY LN W, UNIVERSITY PL, WA, 98466-1125, UNITED STATES
RACHEL JOHNSON Governing Person -

National Provider Identifier

NPI Number:
1407623663
Certification Date:
2024-06-14

Authorized Person:

Name:
SARA WEELBORG
Role:
OWNER/CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
8889599016
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