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REVERIE THERAPY, PLLC

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Company Details

Legal Name: REVERIE THERAPY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 5th 2021
Expiration date: 30 Nov 2025
UBI Number: 604 828 040
ZIP code: 98661
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 756 OFFICERS ROW, VANCOUVER, WA, 98661-3845, UNITED STATES

Contact Details

E-Mail: ASHLEY@REVERIETHERAPY.COM
Phone Number: +1 425-477-9282

Nature of Business

Health Care, Social Assistance & Service Organization, Other Services, MENTAL HEALTH COUNSELING AND THERAPY

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Registered Agent Information

Name Role Address
ASHLEY GUNDERSON Registered Agent 400 E EVERGREEN BLVD, STE 219A, VANCOUVER, WA, 98660-3264, UNITED STATES

Key Officers & Management

Name Role Address
ASHLEY GUNDERSON Executor 4415 NW WASHINGTON ST, VANCOUVER, WA, 98660-1765, UNITED STATES
ASHLEY GUNDERSON Governing Person 4415 NW WASHINGTON ST, VANCOUVER, WA, 98660, UNITED STATES

National Provider Identifier

NPI Number:
1972262087
Certification Date:
2024-09-17

Authorized Person:

Name:
ASHLEY GRACE GUNDERSON
Role:
OWNER/PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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