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SEATTLE PSYCHOTHERAPY COLLABORATIVE , PLLC

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Company Details

Legal Name: SEATTLE PSYCHOTHERAPY COLLABORATIVE , PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: June 2nd 2017
Expiration date: 30 Jun 2026
UBI Number: 604 134 015
ZIP code: 98103
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 4803 FREMONT AVE N, SEATTLE, WA, 98103-6527, UNITED STATES

Contact Details

E-Mail: LAURENM.LICSW@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
LAUREN MATTHEWS, LLC Registered Agent

Key Officers & Management

Name Role
LYNN ELWOOD Governing Person
LAUREN MATTHEWS Governing Person
JENNA MELMAN Governing Person

National Provider Identifier

NPI Number:
1366110850
Certification Date:
2021-08-31

Authorized Person:

Name:
LYNN ELWOOD
Role:
LICENSED MENTAL HEALTH COUNSELOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

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