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PACIFIC COAST PSYCHOLOGICAL SERVICES LLC

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Company Details

Legal Name: PACIFIC COAST PSYCHOLOGICAL SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 16th 2023
Expiration date: 31 Oct 2025
UBI Number: 605 344 456
ZIP code: 98126
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3515 SW ALASKA ST, SEATTLE, WA, 98126-2730, UNITED STATES

Contact Details

E-Mail: DRSAMUELCOLLIER@GMAIL.COM
Phone Number: +1 253-234-7226

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SAMUEL COLLIER Registered Agent 5326 SW MANNING ST, SEATTLE, WA, 98116-3128, UNITED STATES

Key Officers & Management

Name Role Address
SAMUEL COLLIER Executor 5326 SW MANNING ST, SEATTLE, WA, 98116-3128, UNITED STATES
SAMUEL COLLIER Governing Person 5326 SW MANNING ST, SEATTLE, WA, 98116-3128, UNITED STATES

National Provider Identifier

NPI Number:
1598530248
Certification Date:
2024-03-08

Authorized Person:

Name:
DR. SAMUEL COLLIER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

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