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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
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
COSETTE RAE EXECUTOR 1001 290TH AVE SE, FALL CITY, WA, 98024, 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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