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WELL CHILD PSYCHIATRIC NP PLLC

Company Details

Name: WELL CHILD PSYCHIATRIC NP PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 21 Jan 2022 (3 years ago)
Entity Number: 6381184
ZIP code: 12801
County: Warren
Place of Formation: New York
Address: 92 Broad Street, GLENS FALLS, NY, United States, 12801

Contact Details

Phone +1 518-480-4002

DOS Process Agent

Name Role Address
WELL CHILD PSYCHIATRIC NP PLLC DOS Process Agent 92 Broad Street, GLENS FALLS, NY, United States, 12801

National Provider Identifier

NPI Number:
1508514340
Certification Date:
2022-03-11

Authorized Person:

Name:
DEBBRA PEDERSEN
Role:
CREDENTIALING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-09-10 2025-01-27 Address 92 broad street - second floor, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
2022-01-28 2022-09-10 Address 92 broad street - second floor, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)
2022-01-21 2022-01-28 Address c/o melissa seale, 552 glen street, GLENS FALLS, NY, 12801, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250127001013 2025-01-27 BIENNIAL STATEMENT 2025-01-27
220910000192 2022-03-18 CERTIFICATE OF PUBLICATION 2022-03-18
220128000556 2022-01-26 CERTIFICATE OF CHANGE BY ENTITY 2022-01-26
220121000464 2022-01-21 ARTICLES OF ORGANIZATION 2022-01-21

Date of last update: 21 Mar 2025

Sources: New York Secretary of State