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VIVID PSYCHIATRY LLC

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Company Details

Legal Name: VIVID PSYCHIATRY LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 15th 2019
Expiration date: 31 Jan 2026
UBI Number: 604 378 964
ZIP code: 98038
City: Maple Valley
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 22443 SE 240TH ST STE 202, MAPLE VALLEY, WA, 98038-5879, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 20606 SE 258TH PL, COVINGTON, WA, 98042-6156, UNITED STATES

Contact Details

E-Mail: VIVIDPSYCHIATRY@GMAIL.COM
Phone Number: +1 206-678-3491

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NAPOLEON MCGINNIS Registered Agent 22443 SE 240TH ST STE 202, MAPLE VALLEY, WA, 98038-5879, UNITED STATES

Key Officers & Management

Name Role Address
ASHLEY MCGINNIS Executor 20606 SE 258TH PL, COVINGTON, WA, 98042-6156, UNITED STATES
ASHLEY MCGINNIS Governing Person 20606 SE 258TH PL, COVINGTON, WA, 98042-6156, UNITED STATES

National Provider Identifier

NPI Number:
1336613553

Authorized Person:

Name:
ASHLEY MCGINNIS
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
8778945104
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