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NEW BEGINNINGS INTEGRATIVE BEHAVIORAL HEALTH PLLC

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Company Details

Legal Name: NEW BEGINNINGS INTEGRATIVE BEHAVIORAL HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 5th 2021
Expiration date: 28 Feb 2026
UBI Number: 604 706 363
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES

Contact Details

E-Mail: JSALAZAR101@GMAIL.COM
Phone Number: +1 206-651-5870

Nature of Business

Any Lawful Purpose, PSYCHIATRIC MENTAL HEALTH SERVICES

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role Address
JAMES SALAZAR Executor 1402 LAKE TAPPS PKWY SE STE 150, AUBURN, WA, 98092-8157, UNITED STATES
JAMES SALAZAR Governing Person 6632 FRANCIS AVE SE, AUBURN, WA, 98092-8207, UNITED STATES

National Provider Identifier

NPI Number:
1306565742
Certification Date:
2022-08-26

Authorized Person:

Name:
JAMES SALAZAR
Role:
GOVERNOR
Phone:

Taxonomy:

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

Contacts:

Fax:
4256786473

Form 5500 Series

Employer Identification Number (EIN):
862007718
Plan Year:
2024
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
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