ENLIVENING MENTAL HEALTH - ADDED 2021 0423
Date:Apr 22, 2021Page: 1
In City Limits:YesEndorsement Status:PendingStatus Reason:
Location Information
Business Structure: Nonprofit Corporation
UBI Number: 604726169-001-0001
Legal Entity Name: ENLIVENING MENTAL HEALTH
Application ID:502126432
Firm Name: ENLIVENING MENTAL HEALTH
Application Date:Mar 31, 2021
Location Phone:(253) 249-5991
Fees:35.00
Location Fax:
Expiration Date: Mar 31, 2022
Email Address:TRACI@ENLIVENINGMH.ORG
Business Open Date:Apr 1, 2021
Location Address: 106 PLAZA DR SE BLDG B3 YELM WA 98597-8841
Mail Address:106 PLAZA DR SE BLDG B3 YELM WA 98597-8841
Product/Serv Description: Mental Health Counselor, Counseling Service, Counselor, Psychotherapist.
City Endorsement Information
Previous Business License:
Number of rental units: 1
Interior/Exterior Modifications: Yes
General Specialty Contractor #:
Square Footage: 800
Gross Income:$150,000.00
Number of full-time employees at this location:3
Number of part-time employees at this location:0
LF60890982
WA State professional/occupational license:Marriage and Family Therapist
Conducting Business From Residence:No
Customers Visiting Premises?NoPer Week: 0
Business Activities:
Hazardous Materials:
(253) 249-5991
Emergency Contact 1:TRACI TOLLIVER
Emergency Contact 2:
Alarm Monitoring Service?No
Company:
Contact:
Contact Phone:
Previous Business Owner?NoName:
Firm name:
Yelm General Business604726169-001-0001
Date:Apr 22, 2021Page: 2
Phone:
Other Location Endorsements
Industrial InsuranceActive
Unemployment InsuranceActive
Approval Information
4/22/2021
Zoning ___________________________________ Fire ___________________________________
DateDate
Building ___________________________________ Police ___________________________________
Date Date
Finance __________________________________ Planning __________________________________
Date Date
Comments:
604726169-001-0001
Yelm General Business