Search icon

OMNI PSYCHOTHERAPY, LCSW, P.C.

Company Details

Name: OMNI PSYCHOTHERAPY, LCSW, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 12 Aug 2016 (9 years ago)
Entity Number: 4992719
ZIP code: 10605
County: Westchester
Place of Formation: New York
Address: 180 SOUTH BROADWAY, STE. 409, WHITE PLAINS, NY, United States, 10605

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 180 SOUTH BROADWAY, STE. 409, WHITE PLAINS, NY, United States, 10605

National Provider Identifier

NPI Number:
1669951596

Authorized Person:

Name:
IVAN DILLER
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
7186844896

Filings

Filing Number Date Filed Type Effective Date
180206000365 2018-02-06 CERTIFICATE OF AMENDMENT 2018-02-06
160812000493 2016-08-12 CERTIFICATE OF INCORPORATION 2016-08-12

Date of last update: 24 Mar 2025

Sources: New York Secretary of State