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TACOMA PSYCHIATRIC CARE, PLLC

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Company Details

Legal Name: TACOMA PSYCHIATRIC CARE, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 17th 2019
Expiration date: 30 Apr 2026
UBI Number: 604 430 046
ZIP code: 98403
City: Tacoma
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2111 N 30TH ST, TACOMA, WA, 98403, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 7600, TACOMA, WA, 98417-0600, UNITED STATES

Contact Details

E-Mail: JLONG@TACOMAPSYCHIATRIC.COM
Phone Number: +1 253-785-6332

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JAIME LONG Registered Agent 2111 N 30TH ST, TACOMA, WA, 98403-3318, UNITED STATES

Key Officers & Management

Name Role Address
JAIME LONG Executor PO BOX 7600, TACOMA, WA, 98417-0600, UNITED STATES
JAIME LONG Governing Person 3111 N. MASON AVE., TACOMA, WA, 98407, UNITED STATES

National Provider Identifier

NPI Number:
1477116358
Certification Date:
2020-07-23

Authorized Person:

Name:
JAIME CHRISTINE LONG
Role:
ARNP
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2533639219

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$20,834
Date Approved:
2020-06-03
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$8,750
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$8,796.99
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $8,750
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