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WILLOW MENTAL HEALTH SERVICES, LLC

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Company Details

Name: WILLOW MENTAL HEALTH SERVICES, LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 08 Jun 2020 (5 years ago)
Entity Number: 5762827
ZIP code: 11210
County: Kings
Place of Formation: New York
Address: 2918 avenue I #1127, BROOKLYN, NY, United States, 11210

DOS Process Agent

Name Role Address
the llc DOS Process Agent 2918 avenue I #1127, BROOKLYN, NY, United States, 11210

National Provider Identifier

NPI Number:
1265133730
Certification Date:
2023-02-05

Authorized Person:

Name:
KIZZY RODNEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2020-06-08 2022-12-07 Address 3102 NEWKIRK AVENUE, APT 5B, BROOKLYN, NY, 11210, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
221207000479 2022-12-06 CERTIFICATE OF CHANGE BY ENTITY 2022-12-06
200723000605 2020-07-23 CERTIFICATE OF AMENDMENT 2020-07-23
200608020077 2020-06-08 ARTICLES OF ORGANIZATION 2020-06-08

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State