ContractServices Agreement • June 25th, 2024 • Washington
Contract Type FiledJune 25th, 2024 JurisdictionSERVICES CONTRACTALTSA Global Leasing DSHS Contract Number:2434-56716Resulting From Procurement Number:2434-845 This Contract is between the state of Washington Department of Socialand Health Services (DSHS) and the Contractor identified below, and is governed by chapter 39.26 RCW. Program Contract Number: Contractor Contract Number: CONTRACTOR NAMERevive Counseling Spokane, PLLC CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS901 N. Monroe St. Suite 201Spokane, WA 99201 WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) 604-138-673 DSHS INDEX NUMBER 251589 CONTRACTOR CONTACTLayne Pavey CONTRACTOR TELEPHONE(509) 998-8388 CONTRACTOR FAX(509) 241-1866 CONTRACTOR E-MAIL ADDRESSLayne@revivespokane.com DSHS ADMINISTRATIONAging & Long Term Support Admin DSHS DIVISIONDivision of Home And Community Services DSHS CONTRACT CODE1000PC-34 DSHS CONTACT NAME AND TITLESandra Guerra De Pellegrini Contract Manager DSHS CONTACT ADDRESS4500 10th Ave. SE. Lacey, WA 98503 DSHS CONTACT TELEPHONEClick here to