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MINDBODYSOUL PSYCHIATRY NP P.C.

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Company Details

Name: MINDBODYSOUL PSYCHIATRY NP P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 03 Jan 2022 (4 years ago)
Entity Number: 6574592
ZIP code: 10704
County: Westchester
Place of Formation: New York
Address: 909 MIDLAND AVE, GROUND SUITE, YONKERS, NY, United States, 10704

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
SHIRLEY SEMPER DOS Process Agent 909 MIDLAND AVE, GROUND SUITE, YONKERS, NY, United States, 10704

National Provider Identifier

NPI Number:
1306555438
Certification Date:
2023-05-11

Authorized Person:

Name:
IMAN HINES
Role:
OWNER/AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2022-08-30 2024-09-10 Address 909 MIDLAND AVE, GROUND SUITE, YONKERS, NY, 10704, USA (Type of address: Service of Process)
2022-01-03 2024-06-28 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
240910001442 2024-06-28 CERTIFICATE OF AMENDMENT 2024-06-28
220830001233 2022-01-03 CERTIFICATE OF INCORPORATION 2022-01-03

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State