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THAWMINDS MENTAL HEALTH SERVICE LLC

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Company Details

Legal Name: THAWMINDS MENTAL HEALTH SERVICE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 14th 2025
Expiration date: 30 Apr 2026
UBI Number: 605 844 039
ZIP code: 98003
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1406 S 281ST ST, FEDERAL WAY, WA, 98003-6113, UNITED STATES

Contact Details

E-Mail: ABUSHUM@YAHOO.COM
Phone Number: +1 206-353-5378

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Registered Agent Information

Name Role Address
ANTENEH WOLDESELASSIE Registered Agent 1406 S 281ST ST, FEDERAL WAY, WA, 98003-6113, UNITED STATES

Key Officers & Management

Name Role Address
ANTENEH WOLDESELASSIE Executor 1406 S 281ST ST, FEDERAL WAY, WA, 98003-6113, UNITED STATES

National Provider Identifier

NPI Number:
1629868120
Certification Date:
2025-05-08

Authorized Person:

Name:
DR. ANTENEH ARAYA WOLDESELASSIE
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

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