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WISE MIND LLC

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Company Details

Legal Name: WISE MIND LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 20th 2019
Expiration date: 31 Dec 2025
UBI Number: 604 555 715
ZIP code: 99036
City: Valleyford
County: SPOKANE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 10306 E PALOUSE HWY, VALLEYFORD, WA, 99036-9716, UNITED STATES

Contact Details

E-Mail: TONYAGCARLSON@GMAIL.COM
Phone Number: +1 509-279-4864

Nature of Business

Health Care, Social Assistance & Service Organization, MENTAL HEALTH COUNSELING

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Registered Agent Information

Name Role Address
JONATHAN CARLSON Registered Agent 10306 E PALOUSE HWY, VALLEYFORD, WA, 99036-9716, UNITED STATES

Key Officers & Management

Name Role Address
TONYA CARLSON Executor 10306 E PALOUSE HWY, VALLEYFORD, WA, 99036-9716, UNITED STATES
TONYA CARLSON Governing Person -
JONATHAN CARLSON Governing Person -

National Provider Identifier

NPI Number:
1295375889
Certification Date:
2020-01-10

Authorized Person:

Name:
KRIS NORTON
Role:
CREDENTIALING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

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