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PORTALIS MENTAL HEALTH PLLC

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Company Details

Legal Name: PORTALIS MENTAL HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 9th 2020
Expiration date: 30 Sep 2025
UBI Number: 604 655 375
ZIP code: 98250
City: Friday Harbor
County: SAN JUAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 726A HAMILTON RANCH RD, FRIDAY HARBOR, WA, 98250, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 726A HAMILTON RANCH RD, FRIDAY HARBOR, WA, 98250-9392, UNITED STATES

Contact Details

E-Mail: HELLO@PORTALISMENTALHEALTH.COM
Phone Number: +1 360-672-0618

Nature of Business

Entertainment, Arts & Recreation, Health Care, Social Assistance & Service Organization, Other Services, Administration & Business Support Services, CONSULTING COACHING MENTAL HEALTH SERVICES

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Registered Agent Information

Name Role Address
ERIKA NELSON Registered Agent 726A HAMILTON RANCH RD, FRIDAY HARBOR, WA, 98250, UNITED STATES

Key Officers & Management

Name Role Address
ERIKA NELSON Executor 540 ALDER CT, FRIDAY HARBOR, WA, 98250-8093, UNITED STATES
ERIKA NELSON Governing Person 540 ALDER CT, FRIDAY HARBOR, WA, 98250-8093, UNITED STATES

National Provider Identifier

NPI Number:
1649905662
Certification Date:
2022-07-22

Authorized Person:

Name:
ERIKA C NELSON
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
853310042
Plan Year:
2023
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRIS HORNE(Plan administrator)
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