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STILLPOINT PSYCHIATRY PLLC

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Company Details

Legal Name: STILLPOINT PSYCHIATRY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 14th 2023
Expiration date: 28 Feb 2026
UBI Number: 605 030 961
ZIP code: 98260
City: Langley
County: ISLAND
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2708 XANADU LN, LANGLEY, WA, 98260-9213, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 192, LANGLEY, WA, 98260-0192, UNITED STATES

Contact Details

E-Mail: MBOLLES1@GMAIL.COM
Phone Number: +1 206-795-0378

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MARY BOLLES HOLDER Registered Agent 2708 XANADU LN, LANGLEY, WA, 98260-9213, UNITED STATES

Key Officers & Management

Name Role Address
MARY BOLLES HOLDER Executor 2708 XANADU LN, LANGLEY, WA, 98260-9213, UNITED STATES
MARY BOLLES HOLDER Governing Person 2708 XANADU LN, LANGLEY, WA, 98260-9213, UNITED STATES
JONATHAN HOLDER Governing Person -

National Provider Identifier

NPI Number:
1578349486
Certification Date:
2023-09-06

Authorized Person:

Name:
MARY THERESA BOLLES HOLDER
Role:
PMHNP
Phone:

Taxonomy:

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

Contacts:

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