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PAUL SAMUELSON, PMHNP-BC, INC

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Company Details

Legal Name: PAUL SAMUELSON, PMHNP-BC, INC
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 11th 2013
Expiration date: 30 Sep 2025
UBI Number: 603 330 793
ZIP code: 98260
City: Langley
County: ISLAND
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 919 3RD ST, LANGLEY, WA, 98260-9228, UNITED STATES

Contact Details

E-Mail: PAUL@EMOTEHEALTH.COM
Phone Number: +1 206-396-7887

Nature of Business

Health Care, Social Assistance & Service Organization, OUTPATIENT PSYCHIATRY AND MENTAL HEALTH

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Registered Agent Information

Name Role Address
PAUL SAMUELSON Registered Agent 919 3RD ST STE 204A, LANGLEY, WA, 98260-9228, UNITED STATES

Key Officers & Management

Name Role
PAUL SAMUELSON Governing Person
ASHLEY CERNY Governing Person

National Provider Identifier

NPI Number:
1033776133
Certification Date:
2024-08-14

Authorized Person:

Name:
ASHLEY CERNY
Role:
OWNER, NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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