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IMPACT PSYCHOLOGICAL SERVICES PLLC

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Company Details

Name: IMPACT PSYCHOLOGICAL SERVICES PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Aug 2021 (4 years ago)
Entity Number: 6262208
ZIP code: 12207
County: Albany
Place of Formation: New York
Address: 418 BROADWAY STE R, ALBANY, NY, United States, 12207

DOS Process Agent

Name Role Address
REGISTERED AGENTS INC. DOS Process Agent 418 BROADWAY STE R, ALBANY, NY, United States, 12207

Agent

Name Role Address
REGISTERED AGENTS INC. Agent 418 BROADWAY STE R, ALBANY, NY, 12207

National Provider Identifier

NPI Number:
1538837414
Certification Date:
2024-03-01

Authorized Person:

Name:
DR. TRACY A PROUT
Role:
CO-OWNER/MANAGING MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2024-09-25 2024-12-20 Address 80 state street, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2022-08-29 2024-09-25 Address 80 state street, ALBANY, NY, 12207, USA (Type of address: Service of Process)
2021-08-19 2022-08-29 Address 80 state street, ALBANY, NY, 12207, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
241220002706 2024-12-18 CERTIFICATE OF CHANGE BY ENTITY 2024-12-18
240925000164 2024-09-25 BIENNIAL STATEMENT 2024-09-25
220829003461 2022-02-28 CERTIFICATE OF PUBLICATION 2022-02-28
210819001304 2021-08-19 ARTICLES OF ORGANIZATION 2021-08-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State