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XENITH BEHAVIORAL HEALTH PLLC

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Company Details

Legal Name: XENITH BEHAVIORAL HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: May 3rd 2024
Expiration date: 31 May 2026
UBI Number: 605 540 908
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 8350 W GRANDRIDGE BLVD STE 200, KENNEWICK, WA, 99336-1678, UNITED STATES

Contact Details

E-Mail: MB.MHJOURNEY@GMAIL.COM

Nature of Business

Professional, Scientific & Technical Services

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Registered Agent Information

Name Role Address
MARY BLANKENSHIP Registered Agent 8350 W GRANDRIDGE BLVD, SUITE 200, KENNEWICK, WA, 99336-1678, UNITED STATES

Key Officers & Management

Name Role Address
MARY LOUISE BLANKENSHIP Executor 1907 NW 6TH ST, HERMISTON, OR, 97838-1148, UNITED STATES
MARY LOUISE BLANKENSHIP Governing Person -

National Provider Identifier

NPI Number:
1538998406
Certification Date:
2024-08-19

Authorized Person:

Name:
MARY LOUISE BLANKENSHIP
Role:
NP
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

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