OPTIMUM MENTAL HEALTH SERVICES, LLC

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Company Details

Legal Name:	OPTIMUM MENTAL HEALTH SERVICES, LLC
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	September 15th 2013
Expiration date:	30 Sep 2026
UBI Number:	603 333 664
ZIP code:	98057
City:	Renton
County:	KING
Home State:	WASHINGTON
Principal Office Street Address:	15 S GRADY WAY STE 249, RENTON, WA, 98057-3209, UNITED STATES

Contact Details

E-Mail:	PRISCAN@OPMHS.COM
Phone Number:	+1 206-335-1212

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
PRISCA NWIZUGBO	Registered Agent	15 S GRADY WAY STE 249, RENTON, WA, 98057-3209, UNITED STATES

Key Officers & Management

Name	Role	Address
PRISCA NWIZUGBO	Governing Person	1312 N 27TH CT, RENTON, WA, 98056-1443, UNITED STATES

National Provider Identifier

NPI Number:

1063073104

Link:

View on NPI website

Authorized Person:

Name:

MS. PRISCA NWIZUGBO

Role:

BUSINESS OWNER

Phone:

4252330431

Taxonomy:

Selected Taxonomy:

363LP0808X - Psychiatric/Mental Health Nurse Practitioner

Is Primary:

Yes

Contacts:

Phone:

+1 425-233-0431

Fax:

4253298087

Form 5500 Series

Employer Identification Number (EIN):

463692244

Plan Year:

2023

Number Of Participants:

3

Sponsor's telephone number:

2063351212

File:

Plan Administrator / Signatory:

PRISCA O NWIZUGBO(Plan administrator)

Plan Year:

2022

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

2063351212

File:

Plan Administrator / Signatory:

PRISCA NWIZUGBO(Plan administrator)

Plan Year:

2021

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

2063351212

File:

Plan Administrator / Signatory:

PRISCA NWIZUGBO(Plan administrator)

Plan Year:

2020

Number Of Participants:

3

Plan Name:

401(K)

Sponsor's telephone number:

2063351212

File:

Plan Administrator / Signatory:

PRISCA NWIZUGBO(Plan administrator)

Plan Year:

2019

Number Of Participants:

2

Plan Name:

401(K)

Sponsor's telephone number:

2063351212

File:

Plan Administrator / Signatory:

PRISCA NWIZUGBO(Plan administrator)

Paycheck Protection Program

Jobs Reported:

5

Initial Approval Amount:

$36,322

Date Approved:

2020-05-01

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$36,322

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$36,647.41

Servicing Lender:

Bank of America, National Association

Use of Proceeds:

Payroll: $36,322

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