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WILDER THERAPY LCSW P.C.

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Company Details

Name: WILDER THERAPY LCSW P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 29 Nov 2022 (3 years ago)
Entity Number: 6657789
ZIP code: 11552
County: Nassau
Place of Formation: New York
Address: 38 archer road, WEST HEMPSTEAD, NY, United States, 11552

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corp. DOS Process Agent 38 archer road, WEST HEMPSTEAD, NY, United States, 11552

National Provider Identifier

NPI Number:
1871280560
Certification Date:
2023-04-21

Authorized Person:

Name:
KEYNA WILDER
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Filings

Filing Number Date Filed Type Effective Date
221201000341 2022-11-29 CERTIFICATE OF INCORPORATION 2022-11-29

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State