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WILDFLOWER WELLNESS COUNSELING PLLC

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Company Details

Legal Name: WILDFLOWER WELLNESS COUNSELING PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 2nd 2023
Expiration date: 31 May 2026
UBI Number: 605 236 813
ZIP code: 99202
City: Spokane
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 323 E 2ND AVE STE 201, SPOKANE, WA, 99202-1455, UNITED STATES

Contact Details

E-Mail: SHANNA@SWEETGRASSCOMMONS.COM
Phone Number: +1 509-903-6061

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
SHANNA PORTER Registered Agent 323 E 2ND AVE STE 201, SPOKANE, WA, 99202-1455, UNITED STATES

Key Officers & Management

Name Role Address
SHANNA PORTER Executor 598 W RAPTOR PEAK DR, SPOKANE, WA, 99224-5854, UNITED STATES
SHANNA PORTER Governing Person 598 W RAPTOR PEAK DR, SPOKANE, WA, 99224-5854, UNITED STATES

National Provider Identifier

NPI Number:
1669161410
Certification Date:
2023-05-10

Authorized Person:

Name:
SHANNA PORTER
Role:
SOCIAL WORKER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

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