NEW BEGINNINGS MHC - ADRCHG 2020 1207
Date:Oct 31, 2020Page: 1
In City Limits:YesEndorsement Status:On HoldStatus Reason:ADRCHG
Location Information
Business Structure: Individual
UBI Number: 603474159-001-0003
Legal Entity Name: TOLLIVER, TRACI
Application ID:501790672
Firm Name: NEW BEGINNINGS MHC
Application Date:May 4, 2020
Location Phone:(253) 249-5991
Fees:35.00
Location Fax:
Expiration Date: May 31, 2021
Email Address:TNTOLLIVER@HOTMAIL.COM
Business Open Date:Mar 16, 2014
Location Address: 106 PLAZA DR SE BLDG B3 YELM WA 98597-8841
Mail Address:106 PLAZA DR SE STE B-2 YELM WA 98597-8841
Product/Serv Description: Therapy, Counseling, Counseling Service, Marriage & Family Therapy, Mental Health
Counselor, Psychotherapist.
City Endorsement Information
Previous Business License:
Number of rental units: 0
Interior/Exterior Modifications: Yes
General Specialty Contractor #:
Square Footage: 1000
Gross Income:$60,000.00
Number of full-time employees at this location:0
Number of part-time employees at this location:0
LF60890982
WA State professional/occupational license:LMFT
Conducting Business From Residence:No
Customers Visiting Premises?NoPer Week: 0
Business Activities:
Hazardous Materials: Smoke Detect/Fire Sprklr
(253) 249-5991
Emergency Contact 1:TRACI TOLLIVER
Emergency Contact 2:
Alarm Monitoring Service?NoCompany:
Contact:
Contact Phone:
Previous Business Owner?NoName:
Yelm General Business603474159-001-0003
Date:Oct 31, 2020Page: 2
Firm name:
Phone:
Other Location Endorsements
Approval Information
Zoning ___________________________________ Fire ___________________________________
Date Date
Building ___________________________________ Police ___________________________________
Date Date
Finance __________________________________ Planning __________________________________
Date Date
Comments:
Yelm General Business603474159-001-0003