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POSITIVE DYNAMICS CLINICAL SERVICES LLC

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Company Details

Legal Name: POSITIVE DYNAMICS CLINICAL SERVICES LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 25th 2021
Expiration date: 31 Mar 2026
UBI Number: 604 735 644
ZIP code: 98104
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 800 5TH AVE STE 101-800, SEATTLE, WA, 98104-3176, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 800 5TH AVE, STE 101-800, SEATTLE, WA, 98104-3176, UNITED STATES

Contact Details

E-Mail: JMP.POSITIVEDYNAMICS@GMAIL.COM
Phone Number: +1 888-887-6396

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JESSICA PEREZ Registered Agent 800 5TH AVE, STE 101-800, SEATTLE, WA, 98104, UNITED STATES

Key Officers & Management

Name Role Address
JESSICA PEREZ Executor 4811 80TH ST NE UNIT 1, MARYSVILLE, WA, 98270-3511, UNITED STATES
JESSICA PEREZ Governing Person -
MANUEL PEREZ Governing Person -

National Provider Identifier

NPI Number:
1447947866
Certification Date:
2023-04-18

Authorized Person:

Name:
MANUEL ANTONIO PEREZ
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
8337998555
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