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REAL LIFE COMMUNITY BEHAVIORAL HEALTH PLLC

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Company Details

Legal Name: REAL LIFE COMMUNITY BEHAVIORAL HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 1st 2021
Expiration date: 30 Jun 2026
UBI Number: 604 763 825
ZIP code: 99201
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 522 W RIVERSIDE AVE, STE N, WASHOUGAL, WA, 99201-1203, UNITED STATES

Contact Details

E-Mail: JASON@MAGNOLIAMH.ORG
Phone Number: +1 360-818-4214

Nature of Business

Any Lawful Purpose, MENTAL HEALTH COUNSELING

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Registered Agent Information

Name Role
NORTHWEST REGISTERED AGENT LLC Registered Agent

Key Officers & Management

Name Role Address
JOSEPH KLEMZ Executor 3606 MAIN ST STE 202, VANCOUVER, WA, 98663-2235, UNITED STATES
MAGNOLIA MENTAL HEALTH, PLLC Governing Person -
PER ARDUA COUNSELING PLLC Governing Person -
JASON NORRIS Governing Person -

National Provider Identifier

NPI Number:
1952063265
Certification Date:
2024-12-06

Authorized Person:

Name:
JASON NORRIS
Role:
BUSINESS OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

Fax:
3608380413
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