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NORTHWEST THERAPY GROUP PLLC

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Company Details

Legal Name: NORTHWEST THERAPY GROUP PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 22nd 2020
Expiration date: 30 Jun 2026
UBI Number: 604 623 462
ZIP code: 98516
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8284 28TH CT NE, SUITE A, LACEY, WA, 98516-7161, UNITED STATES

Contact Details

E-Mail: DAVE@NWTHERAPYGROUP.COM
Phone Number: +1 630-742-0418

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
DAVID PRICE BOYD Registered Agent 8284 28TH CT NE, SUITE A, LACEY, WA, 98516-7161, UNITED STATES

Key Officers & Management

Name Role Address
DIONE LAGUANA Executor 418 CARPENTER RD SE STE 104, LACEY, WA, 98503-7905, UNITED STATES
DAVID BOYD Executor 418 CARPENTER RD SE STE 104, LACEY, WA, 98503-7905, UNITED STATES
MARILYN YEARIAN Executor 418 CARPENTER RD SE STE 104, LACEY, WA, 98503-7905, UNITED STATES
DIONE LAGUANA Governing Person 418 CARPENTER RD SE, STE 104, LACEY, WA, 98503-7905, UNITED STATES
DAVID BOYD Governing Person -

National Provider Identifier

NPI Number:
1497372460
Certification Date:
2024-01-09

Authorized Person:

Name:
DIONE LAGUANA
Role:
CO-FOUNDER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
3608904099

Form 5500 Series

Employer Identification Number (EIN):
851563447
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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