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REDESIGN MENTAL HEALTH, PLLC

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Company Details

Legal Name: REDESIGN MENTAL HEALTH, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2021
Expiration date: 30 Sep 2025
UBI Number: 604 807 879
ZIP code: 98058
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 14410 SE PETROVITSKY RD, STE 209, RENTON, WA, 98058-8900, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 24216 SE 278TH ST, STE 209, MAPLE VALLEY, WA, 98038, UNITED STATES

Contact Details

E-Mail: STEFANI@REDESIGNMENTALHEALTH.COM
Phone Number: +1 425-578-9505

Nature of Business

Health Care, Social Assistance & Service Organization, PSYCHIATRIC OUTPATIENT OFFICE

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Registered Agent Information

Name Role Address
STEFANI YORGASON Registered Agent 24216 SE 278TH ST, MAPLE VALLEY, WA, 98038-3356, UNITED STATES

Key Officers & Management

Name Role Address
MELISSA SPENCER Executor 24216 SE 278TH ST, MAPLE VALLEY, WA, 98038-3356, UNITED STATES
STEFANI YORGASON Governing Person 24216 SE 278TH ST, MAPLE VALLEY, WA, 98038-3356, UNITED STATES

National Provider Identifier

NPI Number:
1720750706
Certification Date:
2023-05-11

Authorized Person:

Name:
STEFANI YORGASON
Role:
CO-FOUNDER
Phone:

Taxonomy:

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

Contacts:

Fax:
4252074967
Fax:
4255789505
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