| CASE NUMBER | I-200-25014-618542 |
| CASE STATUS | Certified |
| RECEIVED DATE | 1/14/2025 |
| DECISION DATE | 1/22/2025 |
| ORIGINAL CERT DATE | |
| VISA CLASS | H-1B |
| JOB TITLE | Licensed Professional Counselor |
| SOC CODE | 21-1014.00 |
| SOC TITLE | Mental Health Counselors |
| FULL TIME POSITION | N |
| BEGIN DATE | 1/20/2025 |
| END DATE | 1/19/2028 |
| 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 | Focus Forward Counseling and Consulting, Inc. |
| TRADE NAME DBA | |
| EMPLOYER ADDRESS1 | 5975 Parkway North Blvd. |
| EMPLOYER ADDRESS2 | Suite D |
| EMPLOYER CITY | Cumming |
| EMPLOYER STATE | GA |
| EMPLOYER POSTAL CODE | 30040 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PROVINCE | |
| EMPLOYER PHONE | 14043883909 |
| EMPLOYER PHONE EXT | |
| NAICS CODE | 624190 |
| EMPLOYER POC LAST NAME | Hieger |
| EMPLOYER POC FIRST NAME | Brad |
| EMPLOYER POC MIDDLE NAME | N/A |
| EMPLOYER POC JOB TITLE | Clinical Director/President |
| EMPLOYER POC ADDRESS1 | 5975 Pkwy N Blvd. |
| EMPLOYER POC ADDRESS2 | Suite D |
| EMPLOYER POC CITY | Cumming |
| EMPLOYER POC STATE | |
| EMPLOYER POC POSTAL CODE | 30040 |
| EMPLOYER POC COUNTRY | GEORGIA |
| EMPLOYER POC PROVINCE | |
| EMPLOYER POC PHONE | 14043883909 |
| EMPLOYER POC PHONE EXT | |
| EMPLOYER POC EMAIL | doctorbrad@focusforwardcc.com |
| AGENT REPRESENTING EMPLOYER | Yes |
| AGENT ATTORNEY LAST NAME | Sung |
| AGENT ATTORNEY FIRST NAME | Jack |
| AGENT ATTORNEY MIDDLE NAME | C. |
| AGENT ATTORNEY ADDRESS1 | 2975 Wilshire Blvd. |
| AGENT ATTORNEY ADDRESS2 | Suite 352 |
| AGENT ATTORNEY CITY | Los Angeles |
| AGENT ATTORNEY STATE | CA |
| AGENT ATTORNEY POSTAL CODE | 90010 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PROVINCE | |
| AGENT ATTORNEY PHONE | 13233808034 |
| AGENT ATTORNEY PHONE EXT | |
| AGENT ATTORNEY EMAIL ADDRESS | jack@jcslawfirm.com |
| LAWFIRM NAME BUSINESS NAME | Law Office of Jack C. Sung |
| STATE OF HIGHEST COURT | CA |
| NAME OF HIGHEST STATE COURT | Supreme Court |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | No |
| SECONDARY ENTITY BUSINESS NAME | |
| WORKSITE ADDRESS1 | 3060 Kimball Bridge Rd |
| WORKSITE ADDRESS2 | Suite 110 |
| WORKSITE CITY | Alpharetta |
| WORKSITE COUNTY | FULTON |
| WORKSITE STATE | GA |
| WORKSITE POSTAL CODE | 30022 |
| WAGE RATE OF PAY FROM | $47.50 |
| WAGE RATE OF PAY FROM CLEANED | |
| WAGE RATE OF PAY TO | |
| WAGE UNIT OF PAY | Hour |
| PREVAILING WAGE | $30.96 |
| PW UNIT OF PAY | Hour |
| PW TRACKING NUMBER | |
| PW WAGE LEVEL | IV |
| PW OES YEAR | 7/1/2024 - 6/30/2025 |
| 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 | Sung |
| PREPARER FIRST NAME | Jack |
| PREPARER MIDDLE INITIAL | C. |
| PREPARER BUSINESS NAME | Law Office of Jack C. Sung |
| PREPARER EMAIL | jack@jcslawfirm.com |
| BEGIN DATE CONVERTED | 2025-01-20 |
