WENTWORTH MFT PLLC - ADDED 2020 1031
Date:Oct 14, 2020Page: 1
In City Limits:YesEndorsement Status:PendingStatus Reason:
Location Information
Business Structure: Limited Liability Company
UBI Number: 604609631-001-0001
Legal Entity Name: WENTWORTH MFT PLLC
Application ID:501895295
Firm Name: WENTWORTH MFT PLLC
Application Date:Sep 1, 2020
Location Phone:(360) 901-2988
3609
Fees:35.00
Location Fax:
Expiration Date: Sep 30, 2021
Email Address:WENTWORTHMFT@COMCAST.NET
Business Open Date:Jun 1, 2020
Location Address: 10501 CREEK ST SE STE 2 YELM WA 98597-9805
Mail Address:706 GROVE LN RAINIER WA 98576-6300
Product/Serv Description: Mental Health Counselor.
City Endorsement Information
Previous Business License:
Number of rental units: 0
Interior/Exterior Modifications: Yes
General Specialty Contractor #:
Square Footage: 90
Gross Income:$5,000.00
Number of full-time employees at this location:1
Number of part-time employees at this location:0
MG60578577
WA State professional/occupational license:Marriage & Family Therapist Associate
Conducting Business From Residence:No
Customers Visiting Premises?NoPer Week: 0
Business Activities:
Hazardous Materials: Smoke Detect/Fire Sprklr
(360) 901-2988
Emergency Contact 1:JENNIFER WENTWORTH
Emergency Contact 2:
Alarm Monitoring Service?No
Company:
Contact:
Contact Phone:
Previous Business Owner?NoName:
Firm name:
Yelm General Business604609631-001-0001
Date:Oct 14, 2020Page: 2
Phone:
Other Location Endorsements
Approval Information
Zoning ___________________________________ Fire ___________________________________
Date Date
Building ___________________________________ Police ___________________________________
Date Date
Finance __________________________________ Planning __________________________________
Date Date
Comments:
Yelm General Business604609631-001-0001