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RESTART PROFESSIONAL GROUP, PLLC

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Company Details

Legal Name: RESTART PROFESSIONAL GROUP, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Delinquent
Formation/ Registration Date: March 26th 2014
Expiration date: 31 Mar 2025
UBI Number: 603 389 259
ZIP code: 98024
City: Fall City
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1001 290TH AVE SE, FALL CITY, WA, 98024, UNITED STATES

Contact Details

E-Mail: BUSINESS@RESTARTLIFE.COM
Phone Number: +1 800-682-6934

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
COSETTE RAE Registered Agent 1001 290TH AVE SE, FALL CITY, WA, 98024-0000, UNITED STATES

Key Officers & Management

Name Role Address
COSETTE RAE EXECUTOR 1001 290TH AVE SE, FALL CITY, WA, 98024, UNITED STATES
HILARIE CASH Governing Person 15275 4TH AVE NE, DUVALL, WA, 98019, UNITED STATES
COSETTE RAE Governing Person 1001 290TH AVE SE, FALL CITY, WA, 98024-7403, UNITED STATES

National Provider Identifier

NPI Number:
1700511284
Certification Date:
2022-07-19

Authorized Person:

Name:
COSSETTE D RAE
Role:
DIRECTOR
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:
261QM2500X - Medical Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
8887883419
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