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INTERWEAVE THERAPY LCSW P.C.

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Company Details

Name: INTERWEAVE THERAPY LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 21 Jan 2022 (4 years ago)
Entity Number: 6381695
ZIP code: 10011
County: Kings
Place of Formation: New York
Address: 24 WEST 9TH ST., STE. 1G, NEW YORK, NY, United States, 10011

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 24 WEST 9TH ST., STE. 1G, NEW YORK, NY, United States, 10011

National Provider Identifier

NPI Number:
1720733793
Certification Date:
2022-02-17

Authorized Person:

Name:
TERRY LAFRAZIA
Role:
OWNER/CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220121002210 2022-01-21 CERTIFICATE OF INCORPORATION 2022-01-21

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State