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TWIN LAKES COUNSELING, PLLC

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Company Details

Legal Name: TWIN LAKES COUNSELING, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 26th 2017
Expiration date: 31 Dec 2025
UBI Number: 604 204 773
ZIP code: 98023
City: Federal Way
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3430 SW 320TH ST, FEDERAL WAY, WA, 98023-2292, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $8,176

Contact Details

E-Mail: OFFICE@TWINLAKESCOUNSELING.COM
Phone Number: +1 253-289-6099

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
RICK WALLACE Registered Agent 31405 41ST AVE SW, FEDERAL WAY, WA, 98023-2115, UNITED STATES

Key Officers & Management

Name Role Address
LAURA WALLACE Governing Person -
DR LAURA B WALLACE EXECUTOR 31405 41ST AVE SW, FEDERAL WAY, WA, 98023-2115, UNITED STATES

National Provider Identifier

NPI Number:
1053828814
Certification Date:
2023-07-19

Authorized Person:

Name:
LAURA BETH WALLACE
Role:
OWNER & CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No
Selected Taxonomy:
163WP0808X - Psychiatric/Mental Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2532317251
Fax:
2533308305

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$54,747
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$54,747
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$55,065.93
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $48,486
Utilities: $938
Rent: $4,550
Healthcare: $773
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