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WILLAPA COUNSELING CENTER

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Company Details

Legal Name: WILLAPA COUNSELING CENTER
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 18th 1986
Expiration date: 28 Feb 2026
UBI Number: 600 618 510
ZIP code: 98631
City: Long Beach
County: PACIFIC
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2204 PACIFIC AVE N, LONG BEACH, WA, 98631-3300, UNITED STATES

Contact Details

E-Mail: MAGRUDERJ@WILLAPABH.ORG
Phone Number: +1 360-642-3787

Nature of Business

COMMUNITY BEHAVIORAL HEALTH CENTER

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Registered Agent Information

Name Role Address
WILLAPA COUNSELING CENTER Registered Agent 2204 PACIFIC AVE N, LONG BEACH, WA, 98631-3300, UNITED STATES

Key Officers & Management

Name Role
WAYNE LEONARD Governing Person
NIKKI FORTUNA Governing Person
JEFF HARREL Governing Person
SALINA MECHAM Governing Person

Unique Entity ID

Unique Entity ID:
ZMB7E6ME3YL8
CAGE Code:
6PK05
UEI Expiration Date:
2025-10-15

Business Information

Activation Date:
2024-10-17
Initial Registration Date:
2012-03-19

Commercial and government entity program

CAGE number:
6PK05
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-10-17
SAM Expiration:
2025-10-15
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
SALINA MECHAM

National Provider Identifier

NPI Number:
1174570949
Certification Date:
2022-10-17
Link:
View on NPI website

Authorized Person:

Name:
LINDSEY MATZEN
Role:
PROVIDER ENROLLMENT
Phone:
3606423783

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Phone:
+1 360-642-3787
Fax:
3606422096

Form 5500 Series

Employer Identification Number (EIN):
911324228
Plan Year:
2023
Number Of Participants:
107
Sponsor's telephone number:
3606423787
File:
View File
Plan Year:
2022
Number Of Participants:
111
Sponsor's telephone number:
3606423787
File:
View File
Plan Year:
2021
Number Of Participants:
108
Sponsor's telephone number:
3606423787
File:
View File
Plan Year:
2020
Number Of Participants:
119
Sponsor's telephone number:
3606423787
File:
View File
Plan Year:
2019
Number Of Participants:
89
Sponsor's telephone number:
3606423787
File:
View File

Tax Exempt

Employer Identification Number (EIN):
91-1324228
Ruling Date:
1975-05
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202206
Link:
Download 990
Return Type:
990
Tax Period:
202106
Link:
Download 990
Return Type:
990
Tax Period:
202006
Link:
Download 990

Paycheck Protection Program

Jobs Reported:
89
Initial Approval Amount:
$905,693
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$905,693
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$912,094.88
Servicing Lender:
Lewis & Clark Bank
Use of Proceeds:
Payroll: $893,634
Utilities: $4,172
Rent: $7,887
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