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PACIFIC BEHAVIORAL HEALTH & WELLNESS, PLLC

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Company Details

Legal Name: PACIFIC BEHAVIORAL HEALTH & WELLNESS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 10th 2023
Expiration date: 31 Jul 2025
UBI Number: 605 281 363
ZIP code: 98501
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3507 KENSINGTON CT SE, OLYMPIA, WA, 98501-7029, UNITED STATES

Contact Details

E-Mail: LISAGAYLERYAN@HOTMAIL.COM
Phone Number: +1 360-888-3498

Nature of Business

Health Care, Social Assistance & Service Organization, BEHAVIORAL HEALTH THERAPY, COACHING AND NUTRITION CONSULTATION

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Registered Agent Information

Name Role Address
LISA RYAN Registered Agent 3507 KENSINGTON CT SE, OLYMPIA, WA, 98501-7029, UNITED STATES

Key Officers & Management

Name Role Address
SPENCER RYAN Executor 3507 KENSINGTON CT SE, OLYMPIA, WA, 98501-7029, UNITED STATES
SPENCER RYAN Governing Person -

National Provider Identifier

NPI Number:
1497527337
Certification Date:
2023-10-24

Authorized Person:

Name:
LISA GAYLE RYAN
Role:
OWNER/THERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

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