| CASE NUMBER | I-200-24228-269334 |
| CASE STATUS | Certified |
| RECEIVED DATE | 8/15/2024 |
| DECISION DATE | 8/22/2024 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Outpatient Therapist |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | Y |
| BEGIN DATE | 9/1/2024 |
| END DATE | 8/30/2027 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 1 |
| CHANGE PREVIOUS EMPLOYMENT | 0 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| EMPLOYER NAME | Blue Ridge Medical Management Corporation |
| TRADE NAME DBA | Blue Ridge Medical Management |
| EMPLOYER ADDRESS1 | 1905 American Way |
| EMPLOYER ADDRESS2 | |
| EMPLOYER CITY | Kingsport |
| EMPLOYER STATE | TN |
| EMPLOYER POSTAL CODE | 37660 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | +14232308295 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 62111 |
| EMPLOYER POC LAST NAME | Blevins |
| EMPLOYER POC FIRST NAME | Kellee |
| EMPLOYER POC MIDDLE NAME | R |
| EMPLOYER POC JOB TITLE | Director, Human Resources |
| EMPLOYER POC ADDRESS1 | 1905 American Way |
| EMPLOYER POC ADDRESS2 | |
| EMPLOYER POC CITY | Kingsport |
| EMPLOYER POC STATE | TN |
| EMPLOYER POC POSTAL CODE | 37660 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | +14232308295 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | Kellee.Blevins@balladhealth.org |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Eastridge |
| AGENT ATTORNEY FIRST NAME | Michael |
| AGENT ATTORNEY MIDDLE NAME | Andrew |
| AGENT ATTORNEY ADDRESS1 | 208 Sunset Drive |
| AGENT ATTORNEY ADDRESS2 | Suite 406 |
| AGENT ATTORNEY CITY | Johnson City |
| AGENT ATTORNEY STATE | TN |
| AGENT ATTORNEY POSTAL CODE | 37604 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | Tennessee |
| AGENT ATTORNEY PHONE | +12125184048 |
| AGENT ATTORNEY PHONE EXT | 101 |
| AGENT ATTORNEY EMAIL ADDRESS | meastridge@globaljusticeadvocates.com |
| LAWFIRM NAME BUSINESS NAME | Global Justice Advocates, PLLC |
| STATE OF HIGHEST COURT | TN |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 701 Med Tech Parkway |
| WORKSITE ADDRESS2 | Suite 200, 201 |
| WORKSITE CITY | Johnson City |
| WORKSITE COUNTY | WASHINGTON |
| WORKSITE STATE | TN |
| WORKSITE POSTAL CODE | 37604 |
| WAGE RATE OF PAY FROM | 40,000.00 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Year |
| PREVAILING WAGE | $37,898.00 |
| PW UNIT OF PAY | Year |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| PW OTHER SOURCE | |
| PW OTHER YEAR | |
| PW SURVEY PUBLISHER | |
| PW SURVEY NAME | |
| TOTAL WORKSITE LOCATIONS | 2 |
| 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 | |
| PREPARER FIRST NAME | |
| PREPARER MIDDLE INITIAL | |
| PREPARER BUSINESS NAME | |
| PREPARER EMAIL | |
| BEGIN DATE CONVERTED | 2024-01-09 |
