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MODERN MINDFUL THERAPY LCSW P.C.

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Company Details

Name: MODERN MINDFUL THERAPY LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Sep 2022 (3 years ago)
Entity Number: 6591248
ZIP code: 11375
County: Queens
Place of Formation: New York
Address: 71-58 austin street, ste 101, FOREST HILLS, NY, United States, 11375

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
sherry chen DOS Process Agent 71-58 austin street, ste 101, FOREST HILLS, NY, United States, 11375

National Provider Identifier

NPI Number:
1649902651
Certification Date:
2024-11-08

Authorized Person:

Name:
SHERRY CHEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
Yes

Contacts:

Filings

Filing Number Date Filed Type Effective Date
220917000157 2022-09-16 CERTIFICATE OF INCORPORATION 2022-09-16

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State