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WEST COAST ANXIETY, PLLC

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Company Details

Legal Name: WEST COAST ANXIETY, PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 24th 2023
Expiration date: 31 Jan 2026
UBI Number: 605 024 718
ZIP code: 98116
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2331 42ND AVE SW APT 403, SEATTLE, WA, 98116-2557, UNITED STATES

Contact Details

E-Mail: JENNIE@WESTCOASTANXIETY.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
JENNIFER CROOKS Registered Agent 2331 42ND AVE SW APT 403, SEATTLE, WA, 98116-2557, UNITED STATES

Key Officers & Management

Name Role Address
JENNIFER CROOKS Executor 2331 42ND AVE SW APT 403, SEATTLE, WA, 98116-2557, UNITED STATES
JENNIFER CROOKS Governing Person -

National Provider Identifier

NPI Number:
1356048052
Certification Date:
2023-02-13

Authorized Person:

Name:
JENNIFER ELAINE-KETCHAM CROOKS
Role:
FOUNDER, CEO, PSYCHOTHERAPIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
922031953
Plan Year:
2024
Number Of Participants:
3
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
0
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
QIAN LIU(Plan administrator)
Plan Year:
2023
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
SHIRLEY HORNER(Plan administrator)
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