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TACOMA INTEGRATIVE PSYCHIATRY PLLC

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Company Details

Legal Name: TACOMA INTEGRATIVE PSYCHIATRY PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 24th 2023
Expiration date: 31 Jul 2026
UBI Number: 605 226 477
ZIP code: 98466
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3560 BRIDGEPORT WAY W STE 1-D, UNIVERSITY PL, WA, 98466, UNITED STATES

Contact Details

E-Mail: BILLING@TACOMAINTEGRATIVEPSYCHIATRY.COM
Phone Number: +1 253-260-6754

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NORTHWEST REGISTERED AGENT, LLC Registered Agent 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0581, UNITED STATES

Key Officers & Management

Name Role Address
LAURA WALKER Executor 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES
LAURA WALKER Governing Person 522 W RIVERSIDE AVE STE N, SPOKANE, WA, 99201-0580, UNITED STATES

National Provider Identifier

NPI Number:
1255117289
Certification Date:
2025-01-20

Authorized Person:

Name:
LAURA WALKER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8777254332
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