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MIND RESTORATION LLC

Headquarter

Company Details

Name: MIND RESTORATION LLC
Jurisdiction: New York
Legal type: DOMESTIC LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 18 Jul 2022 (3 years ago)
Entity Number: 6538879
ZIP code: 12205
County: Bronx
Place of Formation: New York
Address: 187 WOLF ROAD, SUITE 101, ALBANY, NY, United States, 12205

Agent

Name Role Address
BUSINESS FILINGS INCORPORATED Agent 187 WOLF ROAD, SUITE 101, ALBANY, NY, 12205

DOS Process Agent

Name Role Address
BUSINESS FILINGS INCORPORATED DOS Process Agent 187 WOLF ROAD, SUITE 101, ALBANY, NY, United States, 12205

Links between entities

Type:
Headquarter of
Company Number:
2881441
State:
CONNECTICUT

National Provider Identifier

NPI Number:
1336912732
Certification Date:
2023-11-06

Authorized Person:

Name:
LATISHA MYRIE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM0850X - Adult Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0005X - Neurodevelopmental Disabilities Physician
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
240716000171 2024-07-16 BIENNIAL STATEMENT 2024-07-16
220718001537 2022-07-18 ARTICLES OF ORGANIZATION 2022-07-19

Date of last update: 21 Mar 2025

Sources: New York Secretary of State