| CASE NUMBER | I-200-24031-680846 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/31/2024 |
| DECISION DATE | 2/7/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Clinical Provider, PLPC |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 7/13/2024 |
| END DATE | 7/12/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 1 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Burrell, Inc. |
| TRADE NAME DBA | Burrell Behavioral Health |
| EMPLOYER ADDRESS1 | 1300 E. Bradford Parkway |
| EMPLOYER ADDRESS2 | Building A |
| EMPLOYER CITY | Springfield |
| EMPLOYER STATE | MO |
| EMPLOYER POSTAL CODE | 65804 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14177615000 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 621112 |
| EMPLOYER POC LAST NAME | Williams |
| EMPLOYER POC FIRST NAME | Devon |
| EMPLOYER POC MIDDLE NAME | |
| EMPLOYER POC JOB TITLE | Director of Human Resources |
| EMPLOYER POC ADDRESS1 | 900 E. LaHarpe St. |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kirksville |
| EMPLOYER POC STATE | MO |
| EMPLOYER POC POSTAL CODE | 63501 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 16606260629 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | devon.williams@burrellcenter.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Noulles |
| AGENT ATTORNEY FIRST NAME | Sarah |
| AGENT ATTORNEY MIDDLE NAME | |
| AGENT ATTORNEY ADDRESS1 | 9303 W. 75th St. |
| AGENT ATTORNEY ADDRESS2 | Suite 210 |
| AGENT ATTORNEY CITY | Overland Park |
| AGENT ATTORNEY STATE | KS |
| AGENT ATTORNEY POSTAL CODE | 66204 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 19134329994 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | bordeaunoulles@gmail.com |
| LAWFIRM NAME BUSINESS NAME | Bordeau & Noulles LLC |
| STATE OF HIGHEST COURT | KS |
| NAME OF HIGHEST STATE COURT | Kansas Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 1423 North Jefferson St. |
| WORKSITE ADDRESS2 | Suite D200 |
| WORKSITE CITY | Springfield |
| WORKSITE COUNTY | GREENE |
| WORKSITE STATE | MO |
| WORKSITE POSTAL CODE | 65802 |
| WAGE RATE OF PAY FROM | 57152.5 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $54,226.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | III |
| PW OES YEAR | 7/1/2023 - 6/30/2024 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | Yes |
| H 1B DEPENDENT | No |
| WILLFUL VIOLATOR | No |
| SUPPORT H1B | N/A |
| STATUTORY BASIS | |
| APPENDIX A ATTACHED | N/A |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Noulles |
| PREPARER FIRST NAME | Sarah |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | Bordeau & Noulles LLC |
| PREPARER EMAIL | bordeaunoulles@gmail.com |
| BEGIN DATE CONVERTED | 2025-01-07 |
