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BRONXVILLE PSYCHIATRIC WELLNESS GROUP, P.C.

Company Details

Name: BRONXVILLE PSYCHIATRIC WELLNESS GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 01 Nov 2011 (14 years ago)
Entity Number: 4160335
ZIP code: 10708
County: Westchester
Place of Formation: New York
Address: 130 PONDFIELD RD, STE 1, BRONXVILLE, NY, United States, 10708

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name Role Address
REHANA LATIF Chief Executive Officer 130 PONDFIELD RD, STE 1, BRONXVILLE, NY, United States, 10708

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 130 PONDFIELD RD, STE 1, BRONXVILLE, NY, United States, 10708

National Provider Identifier

NPI Number:
1629354717

Authorized Person:

Name:
REHANA LATIF
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TC1900X - Counseling Psychologist
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
9143377013

History

Start date End date Type Value
2011-11-01 2014-07-23 Address 130 PONDFIELD ROAD, SUITE #2, BRONXVILLE, NY, 10708, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
140723002062 2014-07-23 BIENNIAL STATEMENT 2013-11-01
111101000475 2011-11-01 CERTIFICATE OF INCORPORATION 2011-11-01

USAspending Awards / Financial Assistance

Date:
2020-08-07
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
71400.00
Total Face Value Of Loan:
71400.00

Date of last update: 26 Mar 2025

Sources: New York Secretary of State