MODERN INTEGRATIVE WELLNESS, NP IN PSYCHIATRY P.C.
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| Name: | MODERN INTEGRATIVE WELLNESS, NP IN PSYCHIATRY P.C. |
| Jurisdiction: | New York |
| Legal type: | DOMESTIC PROFESSIONAL SERVICE CORPORATION |
| Status: | Active |
| Date of registration: | 15 Nov 2021 (4 years ago) |
| Entity Number: | 6328726 |
| ZIP code: | 12207 |
| County: | Albany |
| Place of Formation: | New York |
| Address: | 418 Broadway, STE N, Albany, NY, United States, 12207 |
| Principal Address: | 125 east 23rd street, suite 300, NEW YORK, NY, United States, 10010 |
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| Name | Role | Address |
|---|---|---|
| NORTHWEST REGISTERED AGENT LLC | DOS Process Agent | 418 Broadway, STE N, Albany, NY, United States, 12207 |
| Name | Role | Address |
|---|---|---|
| ALANNA MONTALVAN | Chief Executive Officer | 125 EAST 23RD STREET, SUITE 300, NEW YORK, NY, United States, 10010 |
| Name | Role | Address |
|---|---|---|
| NORTHWEST REGISTERED AGENT LLC | Agent | 418 broadway, ste n, ALBANY, NY, 12207 |
| Number | Type | Date | End date | Address |
|---|---|---|---|---|
| AEB-24-00709 | Appearance Enhancement Business License | 2024-03-28 | 2028-03-28 | 1 Old Country Rd, Garden City, NY, 11530 |
| AEB-24-00709 | DOSAEBUSINESS | 2024-03-28 | 2028-03-28 | 1 Old Country Rd, Garden City, NY, 11530 |
| Start date | End date | Type | Value |
|---|---|---|---|
| 2024-10-09 | 2024-10-09 | Address | 461B LIBERTY AVENUE, BROOKLYN, NY, 11207, USA (Type of address: Chief Executive Officer) |
| 2024-10-09 | 2024-10-09 | Address | 125 EAST 23RD STREET, SUITE 300, NEW YORK, NY, 10010, USA (Type of address: Chief Executive Officer) |
| 2024-07-22 | 2024-10-09 | Address | 461B LIBERTY AVENUE, BROOKLYN, NY, 11207, USA (Type of address: Chief Executive Officer) |
| 2024-07-22 | 2024-07-22 | Address | 461B LIBERTY AVENUE, BROOKLYN, NY, 11207, USA (Type of address: Chief Executive Officer) |
| 2024-07-22 | 2024-07-22 | Address | 125 EAST 23RD STREET, SUITE 300, NEW YORK, NY, 10010, USA (Type of address: Chief Executive Officer) |
| Filing Number | Date Filed | Type | Effective Date |
|---|---|---|---|
| 241009002197 | 2024-10-08 | CERTIFICATE OF CHANGE BY ENTITY | 2024-10-08 |
| 240722001275 | 2024-07-22 | AMENDMENT TO BIENNIAL STATEMENT | 2024-07-22 |
| 231101042606 | 2023-11-01 | BIENNIAL STATEMENT | 2023-11-01 |
| 211116001583 | 2021-11-15 | CERTIFICATE OF INCORPORATION | 2021-11-15 |
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Date of last update: 21 Mar 2025
Sources: New York Secretary of State