Search icon

MINDFUL LIVING PSYCHOLOGICAL SERVICES, PLLC

Company Details

Name: MINDFUL LIVING PSYCHOLOGICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 Apr 2022 (3 years ago)
Entity Number: 6486114
ZIP code: 11772
County: Suffolk
Place of Formation: New York
Address: 380 sunrise highway #1028, PATCHOGUE, NY, United States, 11772

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 380 sunrise highway #1028, PATCHOGUE, NY, United States, 11772

National Provider Identifier

NPI Number:
1144951393
Certification Date:
2022-06-20

Authorized Person:

Name:
JOHANNA SANGEMINO
Role:
CLINICAL PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-05-16 2023-01-22 Address 380 sunrise highway #1028, PATCHOGUE, NY, 11772, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
230122000246 2022-09-15 CERTIFICATE OF PUBLICATION 2022-09-15
220516002592 2022-04-26 ARTICLES OF ORGANIZATION 2022-04-26

Date of last update: 21 Mar 2025

Sources: New York Secretary of State