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SUNSTONE PSYCHOLOGICAL SERVICES, PLLC

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Company Details

Legal Name: SUNSTONE PSYCHOLOGICAL SERVICES, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 15th 2021
Expiration date: 30 Nov 2025
UBI Number: 604 833 575
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 401 N MORAIN ST, KENNEWICK, WA, 99336-2639, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 6616, KENNEWICK, WA, 99336-0628, UNITED STATES

Contact Details

E-Mail: CMERTENS@MMCLEGAL.NET
Phone Number: +1 509-374-4200

Nature of Business

Any Lawful Purpose, Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHRISTOPHER MERTENS Registered Agent 1020 N CENTER PKWY STE B, KENNEWICK, WA, 99336-7161, UNITED STATES

Key Officers & Management

Name Role Address
MAURILIO GARZA Executor 8508 W 9TH AVE, KENNEWICK, WA, 99336-5195, UNITED STATES
MAURILIO GARZA Governing Person -

National Provider Identifier

NPI Number:
1598423956
Certification Date:
2021-11-30

Authorized Person:

Name:
DR. MAURILIO C GARZA
Role:
OWNER/LMHC
Phone:

Taxonomy:

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

Contacts:

Fax:
5097356181
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