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BALANCED MIND LCSW, PLLC

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Company Details

Name: BALANCED MIND LCSW, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 24 Aug 2022 (3 years ago)
Entity Number: 6570122
ZIP code: 11101
County: Queens
Place of Formation: New York
Address: 1125 45th ave, apt 3b, LONG ISLAND CITY, NY, United States, 11101

DOS Process Agent

Name Role Address
the llc DOS Process Agent 1125 45th ave, apt 3b, LONG ISLAND CITY, NY, United States, 11101

National Provider Identifier

NPI Number:
1134909922
Certification Date:
2023-09-29

Authorized Person:

Name:
GRACE HIGA
Role:
CLINICIAN
Phone:

Taxonomy:

Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220824001114 2022-08-24 ARTICLES OF ORGANIZATION 2022-08-24

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State