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WA MC SPROUT 1 LLC

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Company Details

Legal Name: WA MC SPROUT 1 LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 10th 2020
Expiration date: 30 Apr 2026
UBI Number: 604 601 352
ZIP code: 98104
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 100 S KING ST, STE 100, SEATTLE, WA, 98104-3844, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1455 NW LEARY WAY, SUITE 400, SEATTLE, WA, 98107, UNITED STATES

Contact Details

E-Mail: FILINGS@DISCERN.COM
Phone Number: +1 908-280-5808

Nature of Business

Other Services, PEDIATRIC MENTAL HEALTH SERVICES

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Registered Agent Information

Name Role Address
REGISTERED AGENT SOLUTIONS, INC. Registered Agent 3400 CAPITOL BLVD. SE, SUITE 101, TUMWATER, WA, 98501, UNITED STATES

Key Officers & Management

Name Role Address
YURY YAKUBCHYK SR Executor 100 S KING ST STE 100, SEATTLE, WA, 98104-2885, UNITED STATES
SPROUT THERAPY LLC Executor 1775 TYSONS BLVD FL 5, MC LEAN, VA, 22102-4285, UNITED STATES
YURY YAKUBCHYK Governing Person -

National Provider Identifier

NPI Number:
1881213429
Certification Date:
2021-09-27

Authorized Person:

Name:
YURY YAKUBCHYK SR.
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
103K00000X - Behavior Analyst
Is Primary:
Yes

Contacts:

Fax:
9293847193
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