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LIVE WELL BROOKLYN, MENTAL HEALTH COUNSELING, PLLC

Company Details

Name: LIVE WELL BROOKLYN, MENTAL HEALTH COUNSELING, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 10 Mar 2022 (3 years ago)
Entity Number: 6426164
ZIP code: 11208
County: Kings
Place of Formation: New York
Address: 175 crystal st, BROOKLYN, NY, United States, 11208

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 175 crystal st, BROOKLYN, NY, United States, 11208

National Provider Identifier

NPI Number:
1275262743
Certification Date:
2022-06-08

Authorized Person:

Name:
PATRICE BOYCE
Role:
CEO/CLINICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220310001530 2022-03-10 ARTICLES OF ORGANIZATION 2022-03-10

Date of last update: 21 Mar 2025

Sources: New York Secretary of State