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PUGET SOUND SENIOR PSYCHOLOGY LLC

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Company Details

Legal Name: PUGET SOUND SENIOR PSYCHOLOGY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: June 11th 2009
Expiration date: 30 Jun 2025
UBI Number: 602 931 608
ZIP code: 98662
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9340 NE 76TH ST, VANCOUVER, WA, 98662-3721, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 9340 NE 76TH ST, VANCOUVER, WA, 98662, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $25,324

Contact Details

E-Mail: MPINEDA@SENIORCONNECTIONS.US
Phone Number: +1 360-253-4912

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
DAVID AGNOR Registered Agent 9340 NE 76TH ST, VANCOUVER, WA, 98662-3721, UNITED STATES

Key Officers & Management

Name Role Address
DAVID AGNOR Governing Person 9340 NE 76TH ST, VANCOUVER, WA, 98662-3721, UNITED STATES
PROMIND MENTAL HEALTH PC Governing Person -
CHRYSTAL AGNOR Governing Person -

National Provider Identifier

NPI Number:
1053769844

Authorized Person:

Name:
DR. DAVID AGNOR
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
311ZA0620X - Adult Care Home Facility
Is Primary:
Yes

Contacts:

Fax:
3602535170

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$28,801.04
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,801.04
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$29,014.88
Servicing Lender:
Cross River Bank
Use of Proceeds:
Payroll: $28,801.04
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