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SUNSTONE PSYCHIATRY AND WELLNESS, PLLC

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Company Details

Legal Name: SUNSTONE PSYCHIATRY AND WELLNESS, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 9th 2024
Expiration date: 31 May 2026
UBI Number: 605 542 518
ZIP code: 98043
City: Mountlake Terrace
County: SNOHOMISH
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6100 219TH ST SW STE 480, MOUNTLAKE TERRACE, WA, 98043-2222, UNITED STATES

Contact Details

E-Mail: CORPORATE@OMWLAW.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
OMW R.A. SERVICES, LLC Registered Agent 701 5TH AVE STE 5600, SEATTLE, WA, 98104-7045, UNITED STATES

Key Officers & Management

Name Role Address
BONNIE CULBERTSON Governing Person -
BONNIE CULBERTSON EXECUTOR 6100 219TH ST SW STE 480, MOUNTLAKE TER, WA, 98043-2222, UNITED STATES

National Provider Identifier

NPI Number:
1134968563
Certification Date:
2024-05-24

Authorized Person:

Name:
MRS. BONNIE LYNN CULBERTSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
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:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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