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MODERN MIND & WELLNESS PLLC

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Company Details

Legal Name: MODERN MIND & WELLNESS PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 15th 2023
Expiration date: 31 May 2026
UBI Number: 605 244 984
ZIP code: 98005
City: Bellevue
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 13401 NE BEL RED RD, SUITE A8, BELLEVUE, WA, 98005-2322, UNITED STATES

Contact Details

E-Mail: MELISSAMPMHNP@HUSH.COM
Phone Number: +1 828-273-6056

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MELISSA MASON Registered Agent 1100 BELLEVUE WAY NE STE 8A-487, BELLEVUE, WA, 98004-4280, UNITED STATES

Key Officers & Management

Name Role Address
MELISSA MASON Executor 1100 BELLEVUE WAY NE STE 8A-487, BELLEVUE, WA, 98004-4280, UNITED STATES
MELISSA MASON Governing Person 1100 BELLEVUE WAY NE STE 8A-487, BELLEVUE, WA, 98004-4280, UNITED STATES

National Provider Identifier

NPI Number:
1891487724
Certification Date:
2023-05-11

Authorized Person:

Name:
MS. MELISSA CALDWELL MASON
Role:
PMHNP
Phone:

Taxonomy:

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

Contacts:

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