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OUTREACHED YOUTH LLC

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Company Details

Legal Name: OUTREACHED YOUTH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 10th 2016
Expiration date: 31 May 2026
UBI Number: 603 616 778
ZIP code: 98499
City: Lakewood
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 11120 GRAVELLY LAKE DR SW, STE 7, LAKEWOOD, WA, 98499-1337, UNITED STATES

Contact Details

E-Mail: TINA.BARNES@OUTREACHEDYOUTH.ORG
Phone Number: +1 253-352-0659

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
TINA PATRICE BARNES Registered Agent 11120 GRAVELLY LAKE DR SW STE 7, LAKEWOOD, WA, 98499-1351, UNITED STATES

Key Officers & Management

Name Role Address
TINA BARNES Governing Person 6615 150TH ST SW #2, LAKEWOOD, WA, 98439, UNITED STATES

National Provider Identifier

NPI Number:
1669257010
Certification Date:
2023-08-27

Authorized Person:

Name:
MRS. TINA PATRICE BARNES
Role:
ACCOUNTS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
251B00000X - Case Management Agency
Is Primary:
Yes

Contacts:

History

Type Old value New value Date of change
Name change OUTREACHED YOUTH OUTREACHED YOUTH LLC 2022-12-27
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