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A MINDFUL PRACTICE, LCSW P.C.

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Company Details

Name: A MINDFUL PRACTICE, LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 17 Feb 2015 (10 years ago)
Entity Number: 4711584
ZIP code: 13365
County: Herkimer
Place of Formation: New York
Address: 129 FURNACE STREET, LITTLE FALLS, NY, United States, 13365

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 129 FURNACE STREET, LITTLE FALLS, NY, United States, 13365

National Provider Identifier

NPI Number:
1982081667

Authorized Person:

Name:
MELISSA GIFFORD
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
150217000956 2015-02-17 CERTIFICATE OF INCORPORATION 2015-02-17

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State