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PSYCHOLOGICAL MOTIVATION AND CHANGE GROUP, PLLC

Company Details

Name: PSYCHOLOGICAL MOTIVATION AND CHANGE GROUP, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 09 Oct 2003 (22 years ago)
Entity Number: 2963357
ZIP code: 10018
County: New York
Place of Formation: New York
Address: 519 8TH AVENUE, 9TH FLOOR, NEW YORK, NY, United States, 10018

DOS Process Agent

Name Role Address
PSYCHOLOGICAL MOTIVATION AND CHANGE GROUP, PLLC DOS Process Agent 519 8TH AVENUE, 9TH FLOOR, NEW YORK, NY, United States, 10018

National Provider Identifier

NPI Number:
1619090636

Authorized Person:

Name:
DR. CARRIE LYN WILKENS
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
2126833340

Form 5500 Series

Employer Identification Number (EIN):
200304531
Plan Year:
2023
Number Of Participants:
55
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
55
Sponsors Telephone Number:

History

Start date End date Type Value
2019-10-02 2024-07-23 Address 519 8TH AVENUE, 9TH FLOOR, NEW YORK, NY, 10018, USA (Type of address: Service of Process)
2015-10-02 2019-10-02 Address 276 5TH AVENUE, STE 1101, NEW YORK, NY, 10001, USA (Type of address: Service of Process)
2011-10-21 2015-10-02 Address 276 FIFTH AVE, STE 1101, NEW YORK, NY, 10001, USA (Type of address: Service of Process)
2003-10-09 2011-10-21 Address 276 FIFTH AVE STE 1101, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240723003425 2024-07-23 BIENNIAL STATEMENT 2024-07-23
220119002041 2022-01-19 BIENNIAL STATEMENT 2022-01-19
191002061721 2019-10-02 BIENNIAL STATEMENT 2019-10-01
171004006900 2017-10-04 BIENNIAL STATEMENT 2017-10-01
151002006564 2015-10-02 BIENNIAL STATEMENT 2015-10-01

Date of last update: 29 Mar 2025

Sources: New York Secretary of State